10 Member Service Representative Jobs in Webster, NY
iCircle is Hiring a Member Service Representative Near Webster, NY
Essential Job Functions:
- Responsible for answering member services calls via inbound call center who are seeking assistance related to their member benefits. Meet speed to answer guidelines.
- Respond to all inquiries consistent with confidentiality and privacy policies, and transfer/refer callers to alternate sources when appropriate (such as care manager, enrollment, etc).
- Create and process service authorizations, ensuring that current authorizations are maintained in the electronic record and sent and confirmed by providers.
- Document all contacts with member(s) and provider(s) utilizing electronic record Facilitate the fulfillment of member requests for materials via mail, e-mail, tasks, etc.
- Adhere to quality and accuracy standards, HIPAA compliance, timeframes, and proper procedures, ensuring errors are identified and corrected. Keeps supervisor apprised of any concerns or errors.
- Document complaints in the electronic health record according to standard operating procedures.
- Understands and is able to clearly communicate to members on the MLTC benefit package, Medicaid guidelines, and processes.
- Perform all other duties relevant to the position as assigned by supervisor.
Knowledge, Skills, and Abilities
- Ability to manage a high level of confidentiality, with strong attention to detail and ability to multitask.
- Ability to perform comfortably in a fast-paced, deadline-oriented work environment.
- Creative decision-making skills with proven ability to work independently in on-site location, yet collaborate, communicate, and motivate others within a team setting.
- Ability to actively listen and communicate effectively, both oral and written.
- Preferable to be able to type minimum 30wpm.
- Must be able to complete basic skills in Microsoft Windows and Microsoft Office programs, including Excel (search and filter), Outlook (send/reply to emails attaching documents), TEAMS (utilize chat functions and join meetings), and Word (search and copy/paste).
Education and Experience:
- Must be at least 18 years of age.
- High School diploma required, Associate’s degree preferred.
- Healthcare experience, specifically in at least one of the following areas: call center operations, MLTC, grievance and appeals, and/or authorizations.
Job Summary
Full Time
$31k-38k (estimate)
04/13/2023
07/01/2024
icircle.com
North Adams, MA
<25
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The job skills required for Member Service Representative include Customer Service, Call Center, Confidentiality, Communicates Effectively, etc. Having related job skills and expertise will give you an advantage when applying to be a Member Service Representative. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Member Service Representative. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Member Service Representative positions, which can be used as a reference in future career path planning. As a Member Service 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 Service Representative. You can explore the career advancement for a Member Service Representative below and select your interested title to get hiring information.
If you are interested in becoming a Member Service Representative, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Member Service Representative for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Member Service Representative job description and responsibilities
Provided members high-level customer service to ensure complete satisfaction by fulfilling their requests and concerns through effective communication and member engagement.
12/18/2021: Huntsville, AL
Customer service representatives (CSRs) are the front-line support within organizations that sell products and services to consumers and businesses.
12/31/2021: Gastonia, NC
They deliver high-quality customer service, listening to members' requests and working to find the appropriate solution.
01/09/2022: Knoxville, TN
Essential Duties and Responsibilities Greet members, prospective members and guests, providing exceptional customer service.
02/06/2022: Seattle, WA
The statement of service must provide the branch of service, rate/rank, all dates of service, the expected date of discharge and anticipated character of service (Honorable, General, etc.).
01/03/2022: Wichita, KS
Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Member Service Representative jobs
An associate member service also manages membership application requests and evaluates eligibility.
03/03/2022: Idaho Falls, ID
Building member relationships through quality service experiences.
01/04/2022: Colorado Springs, CO
Process service requests and create authorizations to communicate transportation details to partners.
01/31/2022: Atlanta, GA
Customer service representatives must have high EQ, be excellent at communication, and have superb problem solving skills.
02/15/2022: Danbury, CT
Provided great member service that reflected on repeat and referral members.
02/27/2022: Atlantic City, NJ
Step 3: View the best colleges and universities for Member Service Representative.
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