Remote Member Care Associate


 

Overview

As a Member Care Advocate/ Associate you will work remotely in your home office and be responsible for providing high-quality customer service to members of this important program.

Member Care Advocate Responsibilities

  • Assist members with day-to-day benefits and healthcare-related questions and/or issues
  • Answer phones and respond to incoming inquiries timely and compassionately
  • Conduct member contacts related to benefit support, referral follow-up, and resource inquiries
  • Assess callers’ needs and triage to the appropriate internal team members per documented guidelines
  • Process incoming calls, voicemails, and chats from members and providers resolving their benefits-related questions and issues in accordance with guidelines and policies.
  • Complete outbound calls to members and providers scheduling a variety of medical services in accordance with member and provider availability
  • Refer to resources and document all activities in the system(s), ensuring contacts, information gathered, and next steps are properly documented
  • Performs other duties as assigned.

Member Care Advocate Qualifications

  • A high school diploma or GED is required. An associate degree from an accredited college or university is preferred. Professional certification as applicable to line of business preferred.
  • Four (4) years of administrative and/or customer service experience or equivalent combination of education and experience required.
  • Experience working in a Call Center Environment required
  • One (1) year of experience working in the Health Care industry required
  • Excellent oral and written communication skills
  • PC literate, including Microsoft Office products
  • Strong organizational skills
  • Good interpersonal skills
  • Ability to work in a team environment
  • Ability to meet or exceed Performance Competencies

Taking care of people is at the heart of everything we do. Our clients depend on our talented colleagues to take care of their most valuable assets—their employees, and their customers. Join our team of creative and caring people and help us make a difference in the lives of others.

In addition to a competitive salary, comprehensive health and welfare benefits, tuition reimbursement, and incentive compensation, Company offers participation and vesting in a 401(k) plan with a company match.

The information provided above has been designed to indicate the general nature and level of work of the position. It is not a comprehensive inventory of all duties, responsibilities, and qualifications required.

Important Information

Successful candidates will be required to undergo a financial and criminal background check and obtain and maintain confidential-level security clearance upon hire. We participate in the United States Federal Government E-Verify program to confirm the employment authorization of the employee upon hire.

Equal Opportunity and Affirmative Action Employer

All qualified applicants will receive consideration for employment without regard to age, citizenship status, color, disability, marital status, national origin, race, religion, sex, sexual orientation, gender identity, veteran status, or any other classification protected by federal state or local laws as appropriate, or upon the protected status of the person’s relatives, friends or associates.

Job Type: Full-time

Pay: $38,000.00 - $45,000.00 per year

Benefits:

  • 401(k)
  • Dental insurance
  • Flexible schedule
  • Health insurance
  • Paid time off
  • Vision insurance
  • Work from home

Experience level:

  • 4 years

Shift:

  • Day shift

Weekly day range:

  • Monday to Friday

Work setting:

  • Call center
  • Remote

Education:

  • High school or equivalent (Preferred)

Experience:

  • Call center: 1 year (Preferred)
  • Health care: 1 year (Preferred)
  • Customer service: 4 years (Preferred)

Work Location: Remote

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