Member Services Representative - Peak Health

Welcome to the Latest Job Vacancies Site 2024 and at this time we would like to inform you of the Latest Job Vacancies from the PHH Peak Health Holdings with the position of Member Services Representative - Peak Health - PHH Peak Health Holdings which was opened this.

If this job matches your qualifications, please send your application directly through our latest Job site. Indeed, every job is not easy to apply because it must meet several qualifications and requirements that we must meet in accordance with the standard criteria of the Company who are looking for potential candidates to work. Good job information Member Services Representative - Peak Health - PHH Peak Health Holdings below matches your qualifications. Good Luck: D

This will be a full-time remote opportunity once a comprehensive training and proficiency assessment are completed High School diploma GED Lifting 10-25 lbs

Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important information about this position. This position will report to the Manager of Member and Provider Services, playing a unique and important role in our mission to change healthcare for the better. This will be a full-time remote opportunity once a comprehensive training and proficiency assessment are completed. Candidates should expect to be in office for up to six months prior to going remote.
Experience in the healthcare industry, critical thinking, and compassionate communication skills will help the organization build an effective and efficient Membership Services Team. The Membership Services Representative will take inbound calls from Peak Health members, answering questions ranging from general information to complex inquires on a wide range of issues.
The Membership Services Representative will work with management and peers on the Peak team to research and resolve member issues and questions. This role, in addition to taking inbound calls, will make outbound calls to members with issue resolution or to gather further information. Ability to think critically and communicate effectively while following organizational policies and procedures is a must.

MINIMUM QUALIFICATIONS :

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. High School diploma/GED

EXPERIENCE:

1. Two (2) years of customer service experience in a call center environment

PREFERRED QUALIFICATIONS :

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Associate Degree, or greater, in related healthcare field.

EXPERIENCE:

1. Two plus years’ experience in a fast-paced call environment with processing and/or customer service experience.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

1. Verify member information while addressing general questions.

2. Responds to and resolves all issues/inquires to assure an efficient and seamless member experience.

3. Maintains open channels of member communications doing outreach as required.

4. Meets all production and quality standards, maintaining work queues according to department standards.

5. Effectively communicates with internal and external staff.

6. Elevates issues to next level of supervision, as appropriate.

7. Ensures accuracy of information gathered and shared on a member’s behalf.

8. Attends all required training classes, demonstrating proficiency and ability to learn.

9. Other duties as deemed appropriate by the Management Team.

10. Maintain accurate documents, including timekeeping records

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Ability to sit for extended periods of time.

2. Ability to answer phone calls for extended periods of time.

3. Lifting 10-25 lbs.

4. Travel Requirement: 0%-25%

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Standard office environment with electrical equipment (i.e., telephone, personal computer, copier, fax machines, etc.)

2. Computer Software/Systems include but not limited to Microsoft Office Professional Suite (Outlook, Word, Excel, Access) Internet Explorer and EPIC

SKILLS AND ABILITIES:

1. Working Knowledge of administrative and clerical procedures and systems such as word processing and managing files and records.

2. Ability to take direction and to navigate through multiple systems simultaneously.

3. Excellent written and oral communication, customer service, interpersonal skills, and telephone etiquette.

4. Ability to solve problems with predefined methods and guidelines to drive improved efficiencies and customer satisfaction.

5. Familiarity with Medical insurance services process.

6. Requires exceptional attention to detail, the ability to be organized and to be able to perform multiple tasks simultaneously.

7. Ability to work remotely – this includes reliability, self-motivation, focus & time management skills.

8. Ability to communicate clearly, concisely, and articulately while being an astute listener.

Additional Job Description:

Will be fully remote

Scheduled Weekly Hours:

40

Shift:

Exempt/Non-Exempt:

United States of America (Non-Exempt)

Company:

PHH Peak Health Holdings

Cost Center:

2902 PHH Claims Operations Information :
  • Company : PHH Peak Health Holdings
  • Position : Member Services Representative - Peak Health
  • Location : Remote
  • Country : US

How to Submit an Application:

After reading and knowing the criteria and minimum requirements for qualifications that have been explained from the Member Services Representative - Peak Health job info - PHH Peak Health Holdings Remote above, thus jobseekers who feel they have not met the requirements including education, age, etc. and really feel interested in the latest job vacancies Member Services Representative - Peak Health job info - PHH Peak Health Holdings Remote in 22-04-2024 above, should as soon as possible complete and compile a job application file such as a job application letter, CV or curriculum vitae, FC diploma and transcripts and other supplements as described above, in order to register and take part in the admission selection for new employees in the company referred to, sent via the Next Page link below.

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Post Date : 22-04-2024