Member Services Specialist - Sacramento, United States - LHH Recruitment Solutions

Description

Job Description

Job Description

Member Services Specialist

LHH Recruitment Solutions is searching for a full-time Member Services Representative on a contract to hire basis for a client in Sacramento, Ca. Our client is seeking a Member Services Rep to be the initial point of contact for members, providers, and anyone else.

This position is onsite and you must be located in Sacramento, CA

This position calls for an individual who values stability and has a genuine desire to contribute to our organization's long-term success.

Compensation:

$18-$19

Job Type:

Contract to hire

Responsibilities:

1. Responsible for answering questions and addressing concerns that members may have about their health insurance plan, including benefits, coverage, claims, and other related issues.
2. Help members with claims processing, including reviewing claims for completeness and accuracy, following up on outstanding claims, and resolving any issues that arise during the claims process.
3. Responsible for educating members on the features and benefits of their health insurance plan, as well as providing guidance on how to best use their benefits.
4. Handle member complaints and work to resolve issues in a timely and satisfactory manner.
5. Responsible for maintaining accurate and up-to-date member records, including contact information, health history, and other relevant data.
6. Work closely with other healthcare professionals, such as doctors, nurses, and claims processors, to ensure that members receive the best possible care and service

Qualifications:

1. High school diploma/GED, required.
2. 2+ years of call center experience, required.
3. Previous healthcare industry experience, preferred.
4. Basic computer skills, required.

Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.

Pay Details: $18.00 to $19.00 per hour

Search managed by: Diana Bielawska

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

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