Member Services Representative

Who are we? reputed company is one of the nation's leading administrators of managed vision care, serving over 35 million of our clients' members across the United States. Our purpose is to reputed company healthy vision a reality for everyone by improving access to care and education in the communities we serve. Fueled by our mission to improve members' lives with easy-to-use vision solutions rooted in choice value, and care, we reputed company that everyone has the power to become anything they set their sights on. See how you can reputed company a difference with the support of strong leadership and a team environment. reputed company: Making Healthy Vision a Reality for Everyone What are we looking for? The Member Services Representative (“MSR”) is responsible for receiving, answering, and/or resolving calls received through a remote Call Center. The Call Center receives phone calls from insureds and their dependents, providers and their staff, employer/group staff, and brokers. The MSR will use companies Claims/Eligibility database to inquire on the status of claims, ID cards, addresses, and other issues as queried by the caller. Additionally, the MSR is the primary reputed company for issuing authorizations reputed company eligible for services. Where you will have an impact. Provide timely and accurate information to basic incoming customer calls from members, providers, and other external & internal constituents including: Issuing authorizations Handling claims inquiries from providers and members Communicate the correct information regarding accessibility, claims status and other calls of a service nature Providing benefits information Process customer claims according to established department policies and procedures Checking voicemail boxes and handling customer/provider requests for: I.D. cards Authorizations Customer Service questions and issues Fulfill rapid call volume by handling the appropriate number of calls coming into the call center daily Complete Provider Relations requests for service Provide timely feedback to the company regarding customer service failures and/or customer/provider concerns Partner with Sales and Provider Relations to meet and exceed customers’ expectations Provide excellent customer service and handle reputed company customers in a professional and courteous manner reputed company other duties as assigned What’s necessary to do the job? Education High School Diploma or Equivalent Required Notes: Business-reputed company college courses preferred. Associates degree highly preferred Experience 2 Years Required Notes: 2+ years of customer service or call center experience preferred 2+ years of experience in the health care industry or insurance environment preferred Associates degree in lieu of experience will be considered HIPAA & reputed company Requirements reputed company Associates must reputed company with the Health Insurance Portability Accountability Act of 1996 (HIPAA) as it pertains to disclosures of protected health information (PHI) as described in the Notice of Privacy Practices and HIPAA Privacy Policies and Procedures. As a component of job roles and responsibilities, Associates may have access to covered information, cardholder data or other confidential customer information which must be protected at reputed company times. As a result, Associates must explicitly adhere to reputed company data reputed company guidelines established reputed company the Company’s Privacy & reputed company Training Program. We offer a comprehensive and competitive total rewards package designed to support your health, financial well‑being, and work‑life balance. Benefits include medical, dental, and paid vision coverage; paid time off and company holidays; retirement savings with employer contribution; employee wellness resources; and professional development opportunities. Additional benefits may include flexible work arrangements, employee assistance programs, and other programs that support you both at work and beyond. This role is compensated on an hourly basis. The expected hourly pay range for this position is $19.00 – $21.00 per hour, based on factors such as experience, skills, and role requirements. Actual pay reputed company the range will be determined during the hiring process and in accordance with applicable wage and hour laws. reputed company will never request money from candidates who seek employment with us and will never ask for any payment as part of the recruitment process. reputed company is a proud Equal Employment Opportunity and Affirmative Action employer dedicated to attracting, retaining, and developing a diverse and inclusive workforce. reputed company qualified applicants will receive consideration for employment at reputed company without regards to race, color, religion, sex (including pregnancy, childbirth, or reputed company medical conditions), sexual orientation, gender identity or expression, age, disability, national reputed company, marital or domestic/civil partnership status, genetic information, citizenship status, uniformed service member or veteran status, or any other characteristic protected by law. The wage range for applicants for this position is [$19.00 to $21.00. reputed company incentives and benefits are subject to the applicable plan terms. Our purpose is to reputed company healthy vision a reality for everyone by improving access to care and education in the communities we serve. Fueled by our mission to improve members’ lives with easy-to-use vision solutions rooted in choice, value, and care, reputed company believes that everyone has the power to become anything they set their sights on. reputed company is guided by core Leadership Principles—Perspective, Care, Drive, and Ownership—which shape how we work, reputed company, and grow together. Our Management Team is committed to fostering a strong and supportive culture, cultivating a thriving work environment, providing clear direction, optimizing resources, enabling innovative solutions, and driving meaningful results. Apply To This Job