Member Service Representative

Job Description

Member Service Representative

Summary

Description:

The role of the Member Service Representative is to provide efficient, courteous and knowledgeable response to inquiries on the Member Services phone line and is proficient in data entering information into numerous programs.

Essential Functions:

Handles phone calls which will vary from problems and complaints to inquiries and questions for all aspects of the business and will originate from various sources including members, doctor’ s offices, hospital offices, and outside vendors.

Makes suggestions to members for more efficient services available to them through the use of more compatible doctor offices, hospitals, pharmacies, dentists and/or vision centers.

Exerts best effort to retain members who are calling to dis‑enroll from membership.

Communicates effectively with other staff members in the resolution of problem, complaint and inquiry phone calls.

Enters appropriate data in various computer programs in an efficient and accurate manner.

Ability to transcribe conversation while listening.

Identifies recurring issues to management.

Must be able to handle at least 75 incoming calls a daily.

Knowledge &

Skills:

Previous customer service call center experience in a health care setting required.

Knowledge of Medicaid and Medicare required.

Benefits knowledge and experience required.

Outstanding listening, communication and problem solving skills.

Publically Accessible:
Off the UIC-Blue Line or Clinton-Blue Line (2 locations).

PAY: $12/hr.

The right candidate will be considered for temp-to-hire.

All your information will be kept confidential according to EEO guidelines.