Aston Carter A

Member Service Representative

Found in: Jooble US

Description:
*Description: Member Services Representative
Our Client is a leading provider of vision and eye health solutions. They offer a full spectrum of services in the vision care marketplace.
Their mission is very real to their members:
we help them enjoy the wonders of sight through healthy eyes and vision. What you do as an Associate matters. 33 million Americans count on them to provide access to annual eye exams and corrective eyewear. They are there to change the face of vision care, and together we will make this happen.

Great Environment

We are dedicated to you we provide a professional work environment, competitive benefits, equal opportunities and potential to grow with us.

We guide you to what s right for you- as leaders in the industry, we guide and coach Associates to give them opportunities to reach their full professional potential.

We think ahead for you- you ll enjoy a variety of benefits for those times when you need extra support.


Scope and Purpose of Position
The Member Services Representative is responsible for receiving, answering, and/or resolving calls received through a Call Center.

The Call Center receives phone calls from insured s and their dependents, providers and their staff, employer/group staff, and brokers.

The MSR will use companies Claims / Eligibility database to inquire on the status of claims, ID cards, addresses, and other issues as queried by the caller.

The MSR is the primary source for issuing authorizations when eligible for services. In addition, the MSR performs duties consistent with customer/provider service.

Essential Functions
Provide timely and accurate information to basic incoming customer calls from members, providers, and other external and internal constituents including:
Issuing authorizations
Handling claim inquiries from providers and members
Communicate the correct information regarding accessibility, claims status and other calls of a service nature
Providing benefits information
Process customer claims according to established department policies and procedures
Checking voicemail boxes and handling customer/provider requests for:
o I.D. cards
o Authorizations
o Customer Service questions and issues
Fulfill rapid call volume by handling the appropriate amount of calls coming into the call center daily.
Complete Provider Relations requests for service
Provide timely feedback to the company regarding customer service failures and/or customer/provider concerns
Partner with Sales and Provider Relations to meet and exceed customers expectations
Provide excellent customer service and handle all customers in a professional and courteous manner
Perform other related duties as assigned

We provide equal employment opportunities (EEO) to all associates and applicants for employment without regard to race, color, religious beliefs, age, sex (including pregnancy), sexual orientation, gender identity or expression (including transgender status), national origin, ancestry, status as a protected veteran or disabled veteran, physical or mental disability or history of disability, genetic information, marital status, or any and all other categories protected by under applicable Federal, state or local law.

If you are prohibited from working on a government contract, this may disqualify you from consideration for this position.

*Skills: Medical, Healthcare, Call Center, Customer Service, Claims, insurance, authorizations, eligibility, benefits, Customer service call center, Inbound call center, Customer support

*Top Skills Details: Medical, Healthcare, Call Center, Customer Service, Claims, insurance, authorizations, eligibility, benefits

*Additional Skills & Qualifications: Education & Experience
High school graduate or equivalent is mandatory. Business related college courses preferred
Two years customer service or call center experience
Two years of experience in the health care industry or insurance environment preferred
Strong computer and technical skills to support heavy key data entry
Competencies
Excellent customer service skills (friendly, courteous and helpful)
Excellent interpersonal verbal and written communication skills
The ability to diffuse volatile situations, share information, and educate callers regardless of customers level of understanding
Understanding of the health insurance or insurance industries
Strong execution and follow-up skills
Goal oriented with ability to meet production standards
Team orientation and ability to work effectively across functional areas of the company.
Well Organized and resourceful
Accurate and efficient data entry skills
Strong analytical skill and ability to demonstrate good judgment
Ability to coordinate multiple tasks and projects
Skilled in dealing with all customers in an efficient and effective manner
Bilingual skills helpful

*Experience Level: Entry Level

About Aston Carter:
At Aston Carter, we re dedicated to expanding career opportunities for the skilled professionals who power our business.

Our success is driven by the talented, motivated people who join our team across a range of positions from recruiting, sales and delivery to corporate roles.

As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless.

Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America.

Spanning four continents and more than 200 offices, we extend our clients capabilities by seeking solvers and delivering solutions to address today s workforce challenges.

For organizations looking for innovative solutions shaped by critical-thinking professionals, visit []) Aston Carter is a company within Allegis Group, a global leader in talent solutions.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call 888-###-#### or email [](mailto: ) for other accommodation options.

However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting.

The Recruiter is the sole point of contact for questions about this position.

Associated topics:
assist, assistance, deskside, help, information technology analyst, information technology support, network, patient, technician ii, technology

calendar_today 4 days ago



location_on Linthicum Heights, United States

work Aston Carter

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