MVP Health Care

Compensation

Full Description

Note: The job is a remote job and is open to candidates in USA. MVP Health Care is on a mission to create a healthier future for everyone, and they are seeking an Associate, Bilingual Medicaid- Member Service Representative to join their team. This role focuses on providing optimum customer service to maintain member relationships, addressing inquiries related to enrollment, claims, and benefits, while meeting quality and accessibility goals. Responsibilities • The Associate, Medicaid Member Service Representative is responsible for providing optimum customer service as required to maintain existing member relationships and prevent cancellations. • Addresses member, internal and external customer inquiries, questions and concerns in areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care across a variety of insurance types. • Meet individual accessibility and quality goals, and team goals for industry standard benchmarks such as Average Speed of Answer, and Abandonment Rate. • Responds promptly, accurately, and effectively to all calls in a polite and professional manner. • Responds to all calls timely and have a clear understanding of call avoidance, such as but not limited to short calls, intentional disconnects, inappropriate transfers and inappropriate use of hold button. • Performs data input in a highly accurate and timely manner on all customer contacts. • Simultaneously accesses multiple databases while addressing customer’s needs. • Clearly explains all policies and procedures on both incoming and out-going calls. On an ongoing basis, educates members about their benefits and MVP’s procedures. • Delivers information in a clear and confident manner. • Develops a comprehensive understanding of all lines of business. Has the technical skills required to be able to perform task efficiently. • Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer. Skills • High School diploma or equivalent when possesses customer service employment experience. • Minimum 1 – 3 years customer service experience and/or relevant office experience required. • Must be available to work Monday - Friday from 9:30am- 6:00pm. • Strong problem-solving ability with effective oral and written communication skills. • Have strong interpersonal skills and exhibit good judgment. • Demonstrated excellent customer service skills including superior accountability and follow through. • Demonstrated PC skills using Microsoft applications. • Bilingual preferred • Curiosity to foster innovation and pave the way for growth • Humility to play as a team • Commitment to being the difference for our customers in every interaction Benefits • Growth opportunities to uplevel your career • A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team • Competitive compensation and comprehensive benefits focused on well-being • An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work for and one of the Best Companies to Work For in New York Company Overview • MVP Health Care is a health care insurance provider for individuals, families, and companies. It was founded in 1982, and is headquartered in Schenectady, New York, USA, with a workforce of 1001-5000 employees. Its website is https://www.mvphealthcare.com.