Member Services Rep; Bilingual NY

Job Location:
Eastern Time Zone - Uniondale, NY

Position Type:
Full Time

Salary Range:
Undisclosed

Job Shift:
Day

Job Category:
Customer Service

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LIBERTY Dental Plan is hiring Customer Service Represent atives to serve as the front line in assisting our members. Bilingual in English and Spanish or Russian is highly preferred.

Position is open to Remote work, must be located in New York or Surrounding States in Eastern Time Zone.

JOB SUMMARY

This position expected to
provide excellent customer service to all incoming/outgoing callers and answer and document inquiries related to dental benefits
, eligibility, provider information, claims, pre-estimates/pre-authorizations, grievance and appeals, fulfillment requests and other miscellaneous inquiries.

What you'll do...

• Maintain a quality score of 96.5% or greater.
• Review and respond to all email communications no later than 24 hours from receipt.
• Conduct outbound calls and/or campaigns when directed.
• Thoroughly document all customer transactions in host system.
• Adhere to scheduled shifts to ensure optimal phone coverage.
• Ensure compliance to all regulatory guidelines.
• Safeguard and secure all PHI from misuse in strict accordance with LIBERTYs Information Security Policies and Procedures.
• Follow safety guidelines outlined by LIBERTY Dental Plans Illness and Injury Prevention Program.
• Respond to member calls regarding eligibility, benefits, claims status, fulfillment, and claims inquiries.

What you'll need...

• Minimum High School diploma or equivalent
• Minimum 2 years' experience in customer service, call center or healthcare; prior healthcare or dental experience highly preferred
• Excellent listening skills to appropriately handle calls
• Excellent verbal and written communication skills in the English language
• Knowledge of dental terminology and practices
• Working knowledge of Microsoft Office (Excel, Outlook, and Word)
• Minimum typing speed of 40 wpm
• Bilingual in English and Spanish highly preferred

To ensure Remote associates’ ability to work effectively, the self-provided internet service of Remote associates must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
• LIBERTY will provide Remote associates with telephone and computer equipment appropriate to meet the business requirements for their position/job.
• A dedicated space conducive to learning and keeping protected health information (PHI / HIPAA) of our members confidential. Your designated work location must be located away from other household distractions, including but not limited to ensuring that alternate caregiving arrangements are made for dependents or other members in the household.

LOCATION

Must be located in the state of New York or surrounding states in Eastern Time Zone. Our employees are distributed in office locations in multiple markets across the United States. We are unable to hire or allow employees to work outside of the United States.

WHAT LIBERTY OFFERS

Happy, healthy employees enhance our ability to assist our members and contribute more actively to their society. That’s why LIBERTY offers competitive and attractive benefit packages for their employees. We strive to care for employees in positive ways that promotes wellness and productive employees.

Our first-class benefit package supports our employees and their dependents with:

• Competitive pay structure and saving options that help you reach your financial goals!
• Excellent 401k plan that matches 100% up to 3%. 50% match at 4% and 5%; immediate vesting during Safe Harbor period and professional financial advice through Financial Engines!
• Medical Insurance at no charge for employee only coverage. LIBERTY subsidizes 50% of eligible dependent coverage! Company offers PPO and HMO (where available) options.
• 100% paid dental coverage for your ENTIRE eligible Family members!
• 100% paid vision coverage for employee only coverage, low premium for dependents!
• Company paid basic life and AD&D coverage; options to elect additional supplemental coverage.
• Long Term Disability coverage
• Gen…