Member Service Representative - Bronx
Core
Handle incoming member calls to provide first-call resolution, assist with provider appointments, and explain eligibility and benefits.
Role type
Member Service Representative (Call Center)
Builds
Member support services for healthcare plans
Domain
Healthcare / Insurance
Deliverable
client delivery
Required skills
Phone call handling, eligibility verification, benefits explanation, appointment scheduling, case management documentation, grievance reporting, multi-language fluency
Preferred skills
Healthcare setting experience, call center experience, associate or bachelor's degree
Technologies
CaseTrakker
Responsibilities
Answer and handle phone calls, assist members with finding providers and setting up appointments, document care management notes, complete grievance and incident reports, coordinate services with DME vendors and pharmacies
Seniority
Entry-level, individual contributor