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    Member Services Representative/Service Rep - Irving, United States - InfiCare Technologies

    InfiCare Technologies
    InfiCare Technologies Irving, United States

    1 week ago

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    Description

    Job Description

    Job Description

    Job Description:

    Member Services Representative/Service Rep

    Irving TX 75039

    Duration Available: Temp to Perm (On-site)

    Shifts Available: Monday-Friday, 8-hour, 40 hours/week

    Pay Rate: $19/hour on W2 + benefits (Depending on Experience)

    JOB DETAILS:

    Major Job Responsibilities:

    • Respond to inbound calls, emails, and chat messages from members regarding healthcare-related questions and concerns.
    • Provide accurate and timely information about insurance benefits, claims, coverage, and other related inquiries.
    • Assist members in navigating through the healthcare system and understanding their rights and responsibilities.
    • Support USFHP, HIX, Medicare Advantage, and NCHD LOB as needed.

    Summary:

    • The Member Services Representative will play a crucial role in ensuring our members' highest level of customer satisfaction.
    • The Member Services Representative will be responsible for providing exceptional customer service and resolving inquiries, concerns, and complaints professionally and on time.
    • Your primary focus will be on assisting members and providers with their healthcare-related needs, including but not limited to insurance inquiries, benefit explanations, and general account information.
    • Within the Member Services Representative team, this role provides an opportunity for growth and development to the next level as a Member Service Representative Senior within our organization.
    • Investigate and resolve member complaints, issues, and escalations in a prompt and satisfactory manner.
    • Document all customer interactions and issue resolutions accurately and comprehensively in the CRM system.
    • Collaborate with internal departments to facilitate issue resolution and ensure a seamless customer experience.
    • Explain insurance plans, policies, and procedures to members, ensuring they clearly understand their benefits and coverage.
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