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![Sigma](https://media.trabajo.org/img/noimg.jpg)
Member Services Representative- Onsite-Temp to permanent
2 months ago
Sigma Inc is currently looking for Member Services Representatives to work onsite with our team in Irving, TX.
Shift Timings : Monday to Friday 8 am to 5 PM
Summary:
- This position is to provide service and support to our managed care customers through verbal or written communication.
- This position acts as the primary liaison both telephonic and in-person between all members and the plan.
- Facilitates member & provider understand of the plan coverage and benefits by thoroughly researching inquiries in an efficient and professional manner
- Records all contact with customers, both verbal & written in the current MIS system
- Required to assist in training/re-training new and current employees
- Maintains accurate documentation of all telephone contact, walk-in customers, any mail inquiries by documenting to ensure a clear audit trail for reporting purposes
- Responsible for handling all incoming calls and the making of outgoing calls as needed in order to resolve any issues or questions
- Triage phone request to other areas such as Utilization Management and Provider Relations
- Handles incoming written correspondence in a timely and professional manner
- Must have excellent understanding of benefits, products, & other health care and/or insurance issues as they pertain to our customers (internal/external)
- Excellent communication and knowledge of MIS system
- Including but not limited to Microsoft Word and Microsoft Excel
- High school Diploma with 1 Year experience.