Job Posting

IMMEDIATE OPPORTUNITY AVAILABLE!  WORK FROM HOME!!!

MUST LIVE IN THE TIDEWATER AREA TO BE CONSIDERED

We are currently hiring Member Services Reps to join the team of a growing company located in Virginia Beach, VA.

Hours: 8 hour shift between the hours of 8 am and 8 pm Monday-Friday

The Member Services Agent is responsible for taking inbound calls in a call center environment.  Agent will be speaking with customers regarding services available to them. 

Responsibilities:

• Respond to inbound calls and email from members and providers
• Inform potential enrollees of plan benefits and general information including information about provider directories, member handbooks, grievance and appeals notices and denial and termination notices.
• Verify members’ eligibility status upon request
• Document all calls from Members/Providers in database
• Provide optimal quality customer service to all callers at all times
• Work with internal departments (claims, appeals, finance, etc.) to resolve customer issues
• Schedule transportation trips for members
• Print and/or mail ID cards for new or existing members
• Mail member materials upon request
• Perform Primary Care Physician (PCP) changes as well as demographic changes to the member’s account; address, phone numbers

• High school diploma or equivalent, college preferred.
• Excellent customer service, interpersonal skills and telephone etiquette.
• Knowledge of Microsoft Office products- Word, Excel and Outlook
• Strong typing/data entry skills
• Good organizational skills
• 1+ year call center customer service experience 
• Experience with state programs Medicaid/Medicare preferred