Member Service Representative - Bronx
On-site · United States
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 and care coordination
Domain
Healthcare / Insurance
Deliverable
client delivery
Required skills
Phone call handling, eligibility knowledge, benefits explanation, case management documentation, grievance reporting, multi-language fluency
Preferred skills
Call center experience, healthcare setting experience, associate's or bachelor's degree
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 to Mid-level, hands-on IC