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    Member Service Rep - Sacramento, United States - LHH Recruitment Solutions

    LHH Recruitment Solutions
    LHH Recruitment Solutions Sacramento, United States

    2 weeks ago

    LHH Recruitment Solutions background
    Description

    Job Description

    Job DescriptionThe Member Services Representative (MSR) is responsible for being the primary point of contact for members and providers who interact with internal departments or external entities, including Medical Groups, Health Care Providers, and Brokers.

    Responsibilities
    • Accurately record and refer appeals and grievances according to department protocols and procedures.
    • Educate members on the Referral Program, the company website, and the self-service tools available online.
    • Assist members, providers, brokers, and plan partners with claims-related billing questions and issues as needed.
    • Work with inter and intra-department staff to help resolve member issues to ensure resolution within prescribed timeframes.
    • Manage difficult or emotional customer situations, respond promptly to customer needs, solicit customer feedback to improve service, respond to service requests, and meet commitments.
    • Report any system problems or call drivers needing immediate attention to Member Service Supervisor or Manager immediately.
    • Use tact, discretion, and courtesy while interacting with clients, the public, and other encounters in the course of work.

    Qualifications
    • High School Diploma.
    • A minimum of 2 years of experience working in a call center
    • A minimum of 1 year of previous experience working in the healthcare industry, specifically HMO, is a plus.
    • Basic computer skills, including electronic mail, routine databases, word processing, spreadsheet, graphics, etc.
    • Bilingual is a plus
    Pay Details: $18.00 to $21.00 per hour

    Search managed by: Joanna Calderon

    Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

    Equal Opportunity Employer/Veterans/Disabled

    To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to

    The Company will consider qualified applicants with arrest and conviction records subject to federal contractor requirements and/or security clearance requirements.
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