Member Services Rep (MUST LIVE NEAR CORONA, CA)

HIRING for Member Services Representative (Healthcare Customer Service Rep)!

MUST HAVE RECENT HEALTHCARE CALL CENTER EXPERIENCE (insurance verification, authorizations, etc are HUGE plus)

100% Remote, but must reside in commutable distance to Corona (California)

• Must pick up/drop off equipment onsite

Schedule: Must be flexible to schedule (M-F 7 AM – 9 PM, Sat 10 AM – 7 PM)

• Will receive shifts during those hours

Training: 4-6 weeks

• CANNOT miss first 90 days whatsoever (no doctor appts, no preplanned vacations, absences will not be excused within first 3 months)

Job Description:

• Increase customer satisfaction and retention by providing members, customers, patients, and providers with accurate, consistent, timely, and meaningful information and prepare them to fully utilize and maximize the benefits of their coverage.
• Build rapport and collaborative relationships with current and prospective members in accordance with compliance guidelines.
• Represents Health Plan by answering and documenting all incoming contacts to determine their nature and to respond to complex calls related to specialized product lines or queues.
• Responds professionally to inquiries from internal/external customers.
• Promotes, ensures, and provides customer service to internal/external customers by demonstrating skills which are consistent with the organization’s philosophy of providing extraordinary customer relations and quality service.
• Initiates contact with the appropriate Health Plan, medical group and facility personnel to obtain information relevant to the concern or inquiry as needed.
• Evaluates data to determine and implement the appropriate course of action to resolve the complaint and/or coordinate service recovery.
• Documents conversations with members according to procedure.
• Follows established procedures to meet customer/member needs.
• Required to effectively interact with diverse work units and relevant organizational departments

MUST HAVE Qualifications

• 2 years of Call Center/High call volume experience (recent)- does not have to have healthcare but it’s highly preferred
• Type 30 WPM
• Being able to multi-task, prioritize tasks, and be able to work through multiple systems
• Vaccination is required for this role. 
• Must have high speed internet and quiet work place with no distractions (ex. Babies/kids that are going to be a distraction, dogs barking, having to pick up kids)
• Minimum Highschool diploma

Top Skills Details:

Customer Service, Health Care, Insurance, Insurance Verification, Health Plan, Call Center, Inbound And Outbound Calls, Benefits, Authorizations, High Call Volume

About Aston Carter:

Please Note: Scammers are posing as Aston Carter. We'll never contact you via Gmail, Telegram, or WhatsApp and we'll never solicit money from you.

At Aston Carter, we’re dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range of positions – from recruiting, sales and delivery to corporate roles. As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless.

Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. Spanning four continents and more than 200 offices, we extend our clients’ capabilities by seeking solvers and delivering solutions to address today’s workforce challenges. For organizations looking for innovative solutions shaped by critical-thinking professionals, visit AstonCarter.com. Aston Carter is a company within Allegis Group, a global leader in talent solutions.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call 888-237-6835 or email astoncarteraccommodation@astoncarter.com for other accommodation options. However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting. The Recruiter is the sole point of contact for questions about this position.

Salary : $21