What are the responsibilities and job description for the Member Services Representative position at MJHS?
The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.
Responds to member and provider inquires and requests concerning benefits, claims and complaints within a call center environment in order to ensure high quality customer service to members and providers. Receives calls from members and providers. Responds to customers complaints and grievances. Records all calls and detail. Receives requests for adjustments on claim issues. Receives requests for disenrollment.
- High School Diploma
- Minimum 6 months call center experience
- Microsoft Word
- Excellent skills in telephone communication and a professional demeanor
- Ability to manage multiple tasks and work consistently in a fast-paced environment
