Member Services Representative-Temporary

Member Services Representative-Temporary

Join to apply for the Member Services Representative-Temporary role at Kern Family Health Care
.

1 day ago – Be among the first 25 applicants.

This is a full-time temporary position. Onboarding will be completed through a staffing agency.

Base pay range: $22.00/hr - $22.00/hr actual pay will be based on skills and experience – talk with your recruiter.

Kern Health Systems is dedicated to improving the health status of our members through an integrated managed health care delivery system.

• Strive to practice KHS’ Mission, Vision, and Values every day and commit to advance the organization’s strategic plan.
• Provide the best customer service and member advocacy that reflects KHS’ MVV.
• Work directly with members and service providers to identify and resolve health care service concerns.
• Act as the member advocate promoting timely complaint and problem resolution while representing Kern Health Systems in every interaction.
• Respond to member inquiries timely, accurately, and in detail; assist with processing complaints and grievances per health plan’s grievance policies and regulatory requirements.
• Respond to time-critical questions with detailed and expeditious follow-up to ensure accurate and timely processing of issues.
• Use effective communication to promote positive public relations with members, providers, and internal departments.
• Identify, investigate, resolve, and report member/provider issues to management.
• Promote high standards of member satisfaction and access to care by documenting feedback from members; deviations are documented in QNXT and reported to management.
• Prepare reports and submit results through established administrative channels.
• Maintain an efficient, confidential filing and tracking system to facilitate easy retrieval of contact information while preserving confidentiality.
• Document all interactions with members and providers by appropriately coding and logging information in QNXT.
• Answer phones within the specified time frame while maintaining a high quality of service for members and providers.
• Lead member retention efforts, which may include telephone surveys to monitor member satisfaction.
• Assemble and provide accurate current plan information requested by members.
• Assist the Member Services Trainer with training new Member Services Representatives after hire.
• Assist members, providers, or other KHS departments with scheduling medical appointments and transportation needs.
• Assist management in completing member services related special projects.
• Organize and maintain departmental files, records, handbooks, and manuals.
• Utilize a personal computer for data analysis, report generation, documentation, and project evaluation.
• Perform other job-related duties as required.
• Adhere to all company policies and procedures related to employment and job responsibilities.

• High School Diploma from an accredited school or equivalent.
• Two (2) or more years of recent experience in a customer-service organization or related field with a high degree of problem solving and decision making; strong telephone and communication skills required.

• Typing skills of 30+ NWPM (Required).

Demonstrated knowledge, skills, and abilities.

• Ability to work productively under pressure.
• Ability to work independently and manage multiple responsibilities.
• Effective verbal, in-person, telephone, and written communication skills.
• Effective customer service skills.
• Effective crisis and problem-solving skills, including conflict resolution techniques.

Entry level

Full-time

Customer Service and Distribution

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