Member Services Representative

Member Services Representative

Aston Carter | Baltimore, MD, 21217, US
Salary Range:$30,000 – $36,000 Salary range estimated by Zippia

Posted 15 days ago

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Description

Aston Carter is looking for a Member Service Representative:

Training Schedule: M-F 8:30am-5:00pm

Nesting Schedule: M-F 11:30am-8:00pm

Production Schedule: Su-F 8:00am-9:00pm (FINAL SCHEDULE TBD)

Description:

Essential Functions

• Be available to handle member inquiries.

• Represent Health Plan by answering and documenting all incoming contacts to determine their nature, and respond to complex calls related to specialized product lines or queues.

• Respond with empathy to complaints and concerns from members concerning Health Plan benefits, account status, payment history, and medical services.

• Initiate contact with the appropriate Health Plan, medical group, and facility personnel to obtain information relevant to the concern or inquiry as needed.

• Evaluate data to determine and implement the appropriate course of action to resolve the complaint and/or coordinate service recovery.

• Document according to procedure.

• Assist department in reaching call handling goals, first contact resolution goals, complaint resolution compliance, member retention, and making return contact as warranted.

• Complete required training (including, but not limited to, annual certifications) and understand how to use tools available to recall necessary information.

• Effectively diffuse anger, tension, and hostility, within regulatory guidelines, of members expressing concerns.

• Maintain awareness of the way performance and actions affect members and financial stewardship.

• Be open and receptive to feedback, and change behavior to improve performance.

Skills:

Customer Service, call center, Inbound And Outbound Calls, benefits

About Aston Carter:

Please Note: Scammers are posing as Aston Carter. We'll never contact you via Gmail, Telegram, or WhatsApp and we'll never solicit money from you.

At Aston Carter, we're dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range of positions - from recruiting, sales and delivery to corporate roles. As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless.

Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. Spanning four continents and more than 200 offices, we extend our clients' capabilities by seeking solvers and delivering solutions to address today's workforce challenges. For organizations looking for innovative solutions shaped by critical-thinking professionals, visit AstonCarter.com. Aston Carter is a company within Allegis Group, a global leader in talent solutions.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call 888-237-6835 or email astoncarteraccommodation@astoncarter.com (%20astoncarteraccommodation@astoncarter.com) for other accommodation options. However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting. The Recruiter is the sole point of contact for questions about this position.