Member Services Representative - Schenectady
MVP Health Care - Schenectady, NY

This job posting is no longer available on MVP Health Care. Find similar jobs:Member Service Representative jobs - MVP Health Care jobs

Our Member Services representatives address member/subscriber inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. Majority of contact is via telephone, with some in-office contact and written correspondence/e-mail as needed. Position handles a variety of insurance types including HMO, POS, PPO, ASO, Indemnity, Healthy NY, Medicare and Medicaid. Ability to work in a fast-paced environment and deal with the challenges inherent in a call-center atmosphere necessary. The Member Services Representative will strive to deliver excellent customer service on each received call. The Member Services Representative will have individual accessibility and quality goals, and will directly support additional team goals for industry standard benchmarks such as Average Speed of Answer, Abandonment Rate, and Total Service Factor. The Member Services Representative will work closely with all other MVP departments, especially Operations, Utilization Management, Professional Relations and Provider Services. Effective and positive interpersonal skills are necessary to deliver exceptional customer service with a goal to resolve all inquiries on the initial call from the customer. The Member Services Representative will also perform other duties as assigned by Supervisor. POSITION QUALIFICATIONS. Minimum Education:
Post high school education (Associates degree, college courses) considered with relevant work experience. High school diploma considered with call-center experience. Bachelor s degree strongly preferred. Minimum Experience: Successful customer service experience and relevant office experience. Healthcare, health insurance experience preferred. Call Center experience preferred. Required Skills: Strong problem solving skills accompanied by effective written and verbal communication skills. Demonstrated excellent customer service skills including superior accountability and follow through. Demonstrated PC skills using Microsoft applications. Preferred Skills: Excellent telephone/communication skills; prior call-center experience.Familiarity with healthcare benefits and/or medical terminology. Strong PC skills. Experience in positions where adherence to strict confidentiality is required.


About this company
30 reviews
MVP Health Plan covers about 650,000 most valuable people. Also known as MVP Health Care, the company provides health insurance and employee...