- Responds to inquiries from members, providers, and employer groups, providing superior product and benefit information for multiple HNE plans
- Researches and resolves complex member inquiries via telephone, member mail, e-mail and fax
- Educates members, employers and providers regarding benefits, policies, and procedures
- Meets individual and departmental standards
- Researches and resolves complex pharmacy issues utilizing the Reclaims system and the HNE Pharmacy Services Department
- Performs New Member Outreach Calls
- Processes member transactions, including but not limited to PCP changes, demographic changes, ID card requests and membership material requests
- Collaborates with Enrollment, Claims, Health Services, Pharmacy, Legal, and Sales to ensure that member issues are appropriately resolved
- Adheres to all regulatory requirements relating to member confidentiality, documentation, quality, and inquiry response time
- Demonstrated listening and customer service skills
- Very good verbal and written communication skills
- Multi-tasking and detail oriented skills
- Problem resolution skills
- Very good interpersonal and negotiation skills
- Good organizational ability
- PC knowledge - preferably with the Microsoft suite of products
- Irregular Schedule - Occasionally (1/4 - 2 1/2 hrs.)
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customer service representative
4 days ago
Family Dollar Springfield, United StatesFamily Dollar - 455 BRECKWOOD BLVD [Retail Associate / Cashier / Team Member] As a Customer Service Representative at Family Dollar, you will: Be responsible for providing exceptional service to customers; Greet customers and assist them with selection of merchandise; Complete ca ...
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Customer Service Representative
1 week ago
Ozarks Coca Cola/Dr Pepper Bottling Company Springfield, United StatesCustomer Service Representative · Description **SUMMARY:** Responsible for assisting Customer with incoming/outgoing calls requesting product, service or repairs. Dispatch Service Techs to customer location, explaining customer issues in detail and track information for call in ...
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Client Service Representative
3 days ago
Coronis Health Springfield, United StatesJob title Client Service RepresentativeReports to Client ManagerClassification Hourly, Non-ExemptSalary: $16.00 to $20.00 per hourStarting pay varies based on location and experience, in compliance with specific state wage regulations. Competitive rates tailored to your geography ...
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Guest Services Representative
3 weeks ago
MGM Resorts International Springfield, United States Part timeThe SHOW comes alive at MGM Resorts International. · Have you ever wondered what it would be like to work in a place full of excitement, diversity, and entertainment? Are you enthusiastic about being a team player in one of the most fascinating industries in the world? At MGM Re ...
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Customer Service Representative
6 days ago
Wellfleet Insurance Springfield, United StatesWellfleet, a Berkshire Hathaway company, delivers customer-centric accident and health insurance, with quality service and uncompromising ethics. Wellfleet works to protect people against risk throughout every stage of life from grade school to college to the workplace. · Founde ...
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Patient Service Representative
3 weeks ago
Baystate Health Springfield, United StatesSummary: In collaboration with the multi-disciplinary care team performs the administrative tasks necessary to support exceptional patient-centered care; such as, reception, registration, demographic and insurance verification, answer telephone calls and direct to the appropriate ...
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Patient Service Representative
15 hours ago
Dental Care Alliance Chicopee, United StatesOverview · We are looking for a Patient Service Representative in Chicopee, Massachusetts to join our clinical team by providing a high level of patient service and satisfaction while operating in a team-based environment. This person will be a support person to all of the staff ...
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Service Sales Representative
3 weeks ago
CentiMark Corporation Chicopee, United StatesJob Description · Job DescriptionCentiMark has an exceptional opportunity for an additional full-time Service Sales Representative to support our Sales Teams in our Western Massachusetts & Vermont territory. We are looking for an individual that is a self-starter and energetic to ...
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Customer Service Representative/Teller
3 weeks ago
Westfield Financial, Inc. Springfield, United StatesPosition: Cybersecurity Analyst · Department: Information Systems · Job Status: Full-Time · FLSA Status: Non-Exempt · Grade: 11 · Reports to: IS Help Dest Manager · Amount of Travel Required: Local Travel Required · Positions Supervised: N/A · POSITION SUMMARY · Ensure the availa ...
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Member Services Representative
3 weeks ago
Health New England Springfield, United StatesSUMMARY: The Member Services Representative provides superior customer service to members, providers, and employer groups. · ESSENTIAL FUNCTIONS:Responds to inquiries from members, providers, and employer groups, providing superior product and benefit information for multiple HN ...
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Customer Service Representative
2 weeks ago
BlueWave Ventures Ashford, United StatesAbout the Company · For 70 years, we have been successfully providing insurance and financial services. The second-generation family-owned company is now a modern service provider. Through the development of various specialized concepts, our group of companies has been able to es ...
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Customer Service Representative
2 weeks ago
Braman Termite & Pest Elimination Agawam, United StatesBraman Termite and Pest Elimination, Southern New England's largest family-owned and operated pest control company, has been servicing customers for more than a century. We have an exciting opportunity for a skilled, upbeat, and dynamic individual to work with a well-established, ...
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customer service representative
1 week ago
Family Dollar Indian Orchard, United StatesFamily Dollar - 354 MAIN STREET [Retail Associate / Cashier / Team Member] As a Customer Service Representative at Family Dollar, you will: Be responsible for providing exceptional service to customers; Greet customers and assist them with selection of merchandise; Complete cash ...
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Customer Service Representative
1 month ago
American Pest Solutions Agawam, United StatesCUSTOMER SERVICE BILINGUAL ENGLISH/SPANISH HIGHLY PREFERRED · While we appreciate all interest in this position, international candidates are not being considered at this time. · American Pest Solutions is a family-owned and operated business, protecting the health and property o ...
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Customer Service Representative/Aide
1 week ago
Trinity Health Springfield, United StatesYour best life. Our one purpose. At Mercy. One, we own our actions to achieve our larger goals. We invest in great people and ask that you make each experience your responsibility. What we offer:We care about your well-being, both physical and mental Customer Service Representati ...
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Shafiis' Inc DBA TigerPress East Longmeadow, United StatesJob Description · Job DescriptionTigerPress is looking for some new blood in our sales department. We work as a team to develop new business and increase sales. · We are searching for an inside sales and customer service associate, who can help with existing accounts, work with n ...
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Client Service Representative Supervisor
4 days ago
VCA Animal Hospitals East Longmeadow, United StatesVCA Shaker Road Animal Hospital is growing, and we are searching for an experienced Client Service Supervisor to join our team · Do you have a passion for veterinary medicine? Is work-life balance and a flexible schedule important to you? We are located in East Longmeadow, Massac ...
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Client Service Representative Supervisor
3 weeks ago
VCA Antech, Inc. East Longmeadow, United StatesVCA Shaker Road Animal Hospital is growing, and we are searching for an experienced Client Service Supervisor to join our team · Do you have a passion for veterinary medicine? Is work-life balance and a flexible schedule important to you? We are located in East Longmeadow, Massac ...
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Business Service Representative
3 weeks ago
Trinity Health Chicopee, United States**Business Service Representative (BSR) - Adult Medicine (40 hours)** · Location Chicopee, Massachusetts, 01020 Category Clinical Support Job Id Trinity Health Of New England JOB DESCRIPTION ****Employment Type:**** · Full time****Shift:**** · ****Description:**** · Trinity H ...
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Territory Development Services Representative
4 weeks ago
Myers Tire Supply Springfield, MA, United StatesMyers Tire Supply and Myers Tire Supply International, Myers Industries Companies (NYSE: MYE), serves the complete tire service market. Customers rely on our product selection, product quality, rapid availability and business solutions to grow their businesses. While we sell to a ...
Member Services Representative - Springfield, United States - Health New England
Description
Job Description
Job DescriptionSUMMARY: The Member Services Representative provides superior customer service to members, providers, and employer groups.
ESSENTIAL FUNCTIONS:
MINIMUM REQUIREMENTS:
Associates degree and at least two years of customer service/call center experience within the managed care, insurance, or related call center industries or an equivalent combination of education and experience.
WORKING CONDITIONS: Works in a standard office-based environment
Member Services Representative professionals in Springfield
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Kayla Lear
Customer Service Specialist
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Benjamin Korzec
Editor, Writer, Teacher