Job Title: Member Service Representative
Locations: Irving, TX, 75038
Duration: 3 Months
MAJOR JOB RESPONSIBILITIES
Respond to inbound calls, emails, and chat messages from members regarding healthcare-related questions and concerns.
Provide accurate and timely information about insurance benefits, claims, coverage, and other related inquiries.
Assist members in navigating through the healthcare system and understanding their rights and responsibilities.
Support USFHP, HIX, Medicare Advantage, and NCHD LOB as needed.
SUMMARY
The Member Services Representative will play a crucial role in ensuring our members' highest level of customer satisfaction. The Member Services Representative will be responsible for providing exceptional customer service and resolving inquiries, concerns, and complaints professionally and on time. Your primary focus will be on assisting members and providers with their healthcare-related needs, including but not limited to insurance inquiries, benefit explanations, and general account information. Within the Member Services Representative team, this role provides an opportunity for growth and development to the next level as a Member Service Representative Senior within our organization.
Investigate and resolve member complaints, issues, and escalations in a prompt and satisfactory manner. Document all customer interactions and issue resolutions accurately and comprehensively in the CRM system.
Collaborate with internal departments to facilitate issue resolution and ensure a seamless customer experience.
Explain insurance plans, policies, and procedures to members, ensuring they clearly understand their benefits and coverage.
Job Type: Contract
Pay: $19.00 per hour
Benefits:
Experience level:
Shift:
Weekly day range:
Work setting:
Education:
- High school or equivalent (Required)
Experience:
- Health Insurance: 1 year (Required)
- Inbound/Outbound calls: 2 years (Required)
Work Location: In person