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Member Services Representative
YOH SERVICES LLC Alameda, CA
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$43k-52k (estimate)
Full Time 2 Weeks Ago
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YOH SERVICES LLC is Hiring a Member Services Representative Near Alameda, CA

Bilingual English and Spanish Member Services Representatives (MSR) temp to perm position at one of Yoh' clients in the East Bay Area, CA.
Work from home with weekly check in onsite.
What You Will Be Doing:
  • Member Services Representatives (MSR) are the first point of contact for our members' primary contact with the Alliance for both routine and complex member issues with the goal of delivering excellent customer service to our customers.
  • The MSR provides courteous, professional, and accurate responses to incoming inquiries regarding network, plan benefits, eligibility, authorizations, plan services and guidelines, as well make decisions with the goal of ensuring member satisfaction and retention. The MSR performs a variety of complex functions and is also responsible for maintaining accurate and complete inquiry/grievance records in the electronic database.
  • Serve as the primary contact for members, providers and others for questions related to claims, benefits, authorizations, pharmacy, member eligibility and other questions related to Alameda Alliance and provide accurate, satisfactory answers to their inquiries or concerns.
  • The position is responsible for answering a high volume of inbound and outbound calls in a timely manner. Respond to all communications coming into
  • Member Services in the form of email, fax, letters, chat and phone calls.
  • Timely responses to all member communication are essential.
  • Must effectively prioritize and flex the workload as new communication and tasks are submitted.
  • Identify the caller's needs, clarify information, research issues, and provide solutions and/or alternatives whenever possible.
What You Must Bring To The Table:
  • Fluent English and Spanish
  • Must be self-motivated and able to work with minimal supervision.
  • Must be able to travel to the East Bay Area CA one time a week.
  • Frequent use of telephone and headset.
  • High school diploma, GED required.
  • Minimum one year of direct customer service Call center experience and managed care experience a plus
  • Experience determining eligibility for financial assistance, insurance benefits, unemployment and/or other social services programs.
  • Experience in use of various computer systems software as well as Microsoft Windows, and Microsoft Suite, especially Outlook, Word, Excel.
  • Must have reliable and stable internet connection for remote work
What's In It For You?
We welcome you to be a part of the largest global staffing companies to meet your career aspirations. Yoh's network of client companies has been employing professionals like you for over 65 years in the U.S., UK and Canada. Join Yoh's extensive talent community that will provide you with access to Yoh's vast network of opportunities.
  • Medical, Dental & Vision Benefits
  • 401K Retirement Saving Plan
  • Life & Disability Insurance
  • Direct Deposit & weekly EPayroll
  • Employee Discount Programs
  • Referral Bonus Programs
Recruiter: Trish Brannan

Job Summary

JOB TYPE

Full Time

SALARY

$43k-52k (estimate)

POST DATE

05/27/2024

EXPIRATION DATE

06/15/2024

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The following is the career advancement route for Member Services Representative positions, which can be used as a reference in future career path planning. As a Member Services Representative, it can be promoted into senior positions as a Managed Care Coordinator that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Member Services Representative. You can explore the career advancement for a Member Services Representative below and select your interested title to get hiring information.