Job Description
Position Overview
We are seeking a dedicated and customer-focused Member Services Representative to join a fast-paced healthcare support environment. In this role, you will act as a primary point of contact for members, providers, and health plans—helping to coordinate care and ensure a seamless healthcare experience.
This position begins within a call queue environment, where you will manage inbound calls from members, collect detailed information, and route requests to the appropriate departments. Accuracy, professionalism, and a strong commitment to customer service are essential to success in this role.
Key Responsibilities
+ Serve as the primary liaison between members, providers, and health plans
+ Handle inbound calls and respond to inquiries related to:
+ Claims
+ Referrals
+ Eligibility
+ Accurately document member interactions and capture detailed messages
+ Route inquiries and requests to appropria...
We are seeking a dedicated and customer-focused Member Services Representative to join a fast-paced healthcare support environment. In this role, you will act as a primary point of contact for members, providers, and health plans—helping to coordinate care and ensure a seamless healthcare experience.
This position begins within a call queue environment, where you will manage inbound calls from members, collect detailed information, and route requests to the appropriate departments. Accuracy, professionalism, and a strong commitment to customer service are essential to success in this role.
Key Responsibilities
+ Serve as the primary liaison between members, providers, and health plans
+ Handle inbound calls and respond to inquiries related to:
+ Claims
+ Referrals
+ Eligibility
+ Accurately document member interactions and capture detailed messages
+ Route inquiries and requests to appropria...
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