[Hiring] Member Services Representative @Metropolitan Jewish Health System

Role Description

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.

Responsibilities include:

• Responding to member and provider inquiries and requests concerning benefits, claims, and complaints within a call center environment.
• Ensuring high-quality customer service to members and providers.
• Receiving calls from members and providers.
• Responding to customer complaints and grievances.
• Recording all calls and details.
• Receiving requests for adjustments on claim issues.
• Receiving requests for disenrollment.

Qualifications

• High School Diploma
• Minimum 6 months call center experience
• Proficient in Microsoft Word
• Excellent skills in telephone communication and a professional demeanor
• Ability to manage multiple tasks and work consistently in a fast-paced environment
• Must live in the tri-state area (New York, New Jersey, Connecticut, and/or some parts of Pennsylvania)

Requirements

• Min: USD $41,000.00/Yr.
• Max: USD $45,000.00/Yr.

Benefits

• Tuition Reimbursement for all full and part-time staff
• Generous paid time off, including your birthday!
• Affordable and comprehensive medical, dental, and vision coverage for employee and family members
• Two retirement plans: 403(b) AND Employer Paid Pension
• Flexible spending
• And MORE!
• MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)