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Member Services Representative- Onsite-Temp to permanent

3 months ago

Irving, United States Sigma Full time
8238886 Member Services Representative, Irving, TX, 3 Months temp to Permanent
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.
Responsibilities
  • 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
Requirements:
  • High school Diploma with 1 Year experience.