Randstad Member Services Representative in Sacramento, California
Member Services Representative
salary:$16 - $20 per hour
date posted:Thursday, March 26, 2020
job type:Temp to Perm
Member Services Representative
The Member Services Representative is commonly the initial contact point for members, providers and others. The MSR is responsible for answering incoming contacts and assisting them in resolving issues and/or questions they may have. This may involve interaction with other internal departments or external entities such as Medical Groups, Health Care Providers, and/or Brokers. In addition, the MSR is responsible for resolving issues and/or concerns regarding health plan benefits, policies, procedures and assists the Senior MSRs when needed.
Respond to all member inquiries related to Commercial, Exchange, and/or Individual plans via telephone, email, or fax.
Assist members, providers, and brokers with claims-related billing questions and issues as needed.
Work with department staff to help resolve member issues to ensure resolution within prescribed timeframes.
Accurately record and refer appeals and grievances according to department protocols and procedures.
Educate members on the Advantage Referral Program, the website, and online member tools available to them.
Meet department standard of 100% of all calls taken documented into system of record.
Meet department standards related to performance and attendance.
Manage difficult or emotional customer situations, responds promptly to customer needs, solicit customer feedback to improve service, respond to requests for service and assistance, and meet commitments.
Provide training for new MSR's.
Use tact, discretion and courtesy in dealing with clients, the public, and others encounters in the course of the work.
Perform other duties and special projects as assigned.
Working hours: 8:00 AM - 5:00 PM
-Excellent verbal and written communication skills
-Strong interpersonal skills
-Active listening skills to accurately respond to inquiries and requests
-Must be detail oriented and well organized
-Basic computer skills, including electronic mail, routine database activity, word processing, spreadsheet, graphics, etc.
High School Diploma.
2 years experience working in a call center.
Previous experience working in the health care industry, specifically HMO, is a plus.
Must be able to speak, read, write, and understand the primary language(s) used in the workplace.
If you feel that you meet the qualification of this position and are interested in the job duties, please reach out to me directly at firstname.lastname@example.org. This is an incredible opportunity to get in with an established company during these uncertain times.
Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law. San Francisco Fair Chance Ordinance: Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance.