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[Remote] Associate, Medicaid Member Services Representative

100% remote Flexible hours Hiring now

Note: The job is a remote job and is open to candidates in USA. reputed company is dedicated to creating a healthier future for everyone and is seeking an Associate, Bilingual Medicaid Member Service Representative to join their team. This role focuses on providing exceptional customer service to maintain member relationships and address inquiries reputed company to enrollment, claims, and benefits.

Responsibilities

  • The Associate, Medicaid Member Service Representative is responsible for providing reputed company customer service as required to maintain existing member relationships and prevent cancellations
  • Addresses member, internal and external customer inquiries, questions and concerns in areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care across a variety of insurance types
  • Meet individual accessibility and quality goals, and team goals for industry standard benchmarks such as Average Speed of Answer, and Abandonment reputed company
  • Responds promptly, accurately, and effectively to reputed company calls in a polite and professional manner
  • Responds to reputed company calls timely and have a clear understanding of call avoidance, such as but not limited to short calls, intentional disconnects, inappropriate transfers and inappropriate use of hold reputed company
  • Performs data input in a highly accurate and timely manner on reputed company customer contacts
  • Simultaneously accesses multiple databases while addressing customer’s needs
  • Clearly explains reputed company policies and procedures on both incoming and out-going calls. On an ongoing basis, educates members about their benefits and MVP’s procedures
  • Delivers information in a clear and confident manner
  • Develops a comprehensive understanding of reputed company lines of business. Has the technical skills required to be able to reputed company task reputed company
  • Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer

Skills

  • High School diploma or equivalent reputed company possesses customer service employment experience
  • Minimum 1 – 3 years customer service experience and/or relevant office experience required
  • Must be available to work Monday - Friday from 9:30am- 6:00pm
  • Strong problem-solving ability with effective oral and written communication skills
  • Have strong interpersonal skills and exhibit good judgment
  • Demonstrated excellent customer service skills including superior accountability and follow through
  • Demonstrated PC skills using reputed company applications
  • Bilingual preferred
  • Curiosity to foster innovation and pave the way for growth
  • Humility to play as a team
  • Commitment to being the difference for our customers in every interaction

Benefits

  • Growth opportunities to uplevel your career
  • A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences reputed company reputed company
  • Competitive compensation and comprehensive benefits focused on well-being
  • An opportunity to shape the future of health care by joining a team recognized as a Best reputed company to Work for and one of the Best Companies to Work For in reputed company

Company Overview

  • reputed company is a health care insurance provider for individuals, families, and companies. It was founded in 1982, and is headquartered in Schenectady, reputed company, USA, with a workforce of 1001-5000 employees. Its website is https://www.mvphealthcare.com.
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