Member Services Representative
2 weeks ago
We are seeking a highly skilled and compassionate Member Services Representative to join our team at Point32Health. As a key member of our call center, you will play a vital role in providing exceptional customer service to our members, resolving complex issues, and ensuring a positive experience for all interactions.
Key Responsibilities- Provide accurate and thorough interpretation of Point32Health benefits, claims processes, eligibility, and enrollment policies to members, employers, and internal customers.
- Seek resolution of complex customer inquiries, facilitate problem resolution, and meet or exceed customer expectations.
- Manage a high volume of incoming telephone calls from members, prospective members, employers, and internal Point32Health staff.
- Efficiently and effectively process calls, accessing information and resolving concerns, asking probing questions, and accurately documenting encounters.
- Investigate complaints and perform front-line analysis and intervention, making necessary outgoing phone calls to resolve member-related inquiries.
- Follow assigned schedules to ensure appropriate phone queue coverage, interact with other Point32Health departments to resolve issues, and participate in initiatives and respond to requests for help.
- Engage in opportunities to mentor new colleagues and assist with department projects, achieving key performance indicators.
- High School Diploma or equivalent required; College degree preferred.
- 6+ months of work experience in customer service, retail, hospitality, or healthcare setting preferred.
- Knowledge of medical terminology is a huge plus.
- Prior experience training and working in a completely virtual and remote setting is a plus.
- A desire to work in a professional environment.
- Competitive hourly rate of $19.00, with quarterly incentives after training.
- Opportunities for career development and advancement.
- A generous benefits package, including paid time off, paid volunteer time off, educational reimbursement, company 401k match, medical benefits, and more.
- A remote work environment with a quiet and confidential setting, high-speed internet, and direct ethernet connection.
Point32Health is a leading health and wellbeing organization, delivering an ever-better personalized healthcare experience to everyone in our communities. We are committed to making diversity, equity, inclusion, accessibility, and health equity part of everything we do.
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