Member Service Representative I
Centene Corporation - Columbus, OH

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Position Purpose:
Receive and respond to member/customer inquiries via telephone and written correspondence in a timely and professional manner.

Knowledge/Experience:
High school diploma or equivalent. At least 1 year customer service experience in a call center environment, preferably in a Medicare, Medicaid managed care or insurance environment. Depending on the state, bi-lingual may be preferred.

Position Responsibilities:

• Receive and respond to all telephone or written correspondence inquiries from members within established timeframes and policies.

• Assist members with plan benefits via telephone, in writing, in person or make referral to outreach representative as appropriate.

• Document in the computer system all members’ issues and resolution.

• Utilize current reference materials to assist and resolve any member inquiries.

• May coordinate member transportation.