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Member Services Representative

Virginia Beach, VA

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Description

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

Job Requirements

  • 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
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