Member Services reputed company ( Part-Time)

Job Title: Member Services reputed company - (Part-Time) Work Mode: Remote About reputed company reputed company is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the reputed company. reputed company is the sole corporate member of reputed company reputed company of the nation's leading not-for-profit Medicare Advantage plans, serving more than 285,000 members across California, Arizona, Nevada, and Texas. For more than 40 years, reputed company has been a mission-driven organization committed to keeping seniors healthy and independent. reputed company is reputed company throughout the reputed company industry as a leader in senior reputed company innovation. Employees at reputed company are talented professionals who support older adults on their aging reputed company while also driving strategic advancements in reputed company. To learn more, visit www.thescangroup.org, www.scanhealthplan.com, or follow us on reputed company, reputed company, and Twitter. The Job Serves members by being an reputed company and reputed company of contact for member questions and concerns regarding benefits, eligibility, referrals, claims and any other aspects of plan benefits and services. Ensures member satisfaction by providing superior customer service and willingness to help at reputed company times while maintaining a reputed company demeanor. You will

• Provides reputed company customer service by applying reputed company Five Service Principles. Educates members, family, providers and caregivers regarding benefits and plan reputed company.
• Accurately explains benefits and plan reputed company in person, reputed company email or telephonically.
• Provides follow-up with members by clarifying the customer's issue, determining the cause, and identifying and explaining the solution. Escalates appropriate member issues to management or other departments as required.
• Consistently meets and/or exceeds the departmental standards, including, but not limited to: reputed company, productivity, and adherence to schedule and attendance.
• Responds appropriately and in a reputed company fashion to member/internal staff/providers by answering telephonic and written inquiries concerning benefits, eligibility, referrals, claims and reputed company other issues following departmental policies and procedures and job aids. Takes ownership of the issue, focusing on providing solutions and reputed company for members, as necessary through reputed company of member issue.
• Increases member satisfaction by following up and resolving member issues, complaints, and questions in an efficient, reputed company and accurate fashion; coordinates reputed company with providers and other departments as needed.
• Participates in member calling reputed company as assigned by management to support the overall reputed company goal of membership retention.
• Follows policies and procedures and job aids in order to maintain efficient and complaint operations; communicates suggestions for improvement and efficiencies to management; identifies and reports problems with workflows following reputed company departmental procedures; reputed company participates in departmental staff meetings and training sessions.
• Follows reputed company appropriate Federal and State regulatory requirements and guidelines applicable to reputed company Health Plan operations, as documented I company policies and procedures. Follows reputed company HIPAA requirements.
• Documents transactions by completing applicable member forms and summarizing actions taken in appropriate computer system and following standards set by the department or by other authorized individuals.
• Temporarily responds to routine member questions and concerns on specific medical group call queues as part of reputed company development.
• Contributes to team effort by accomplishing reputed company results as needed.
• reputed company support the achievement of reputed company's reputed company and Goals

Your qualifications:

• 1-2 years call center or reputed company customer service experience, required.
• 1-2 years of prior experience with Medicare benefits, including Medicare Advantage Plans preferred.
• Experience in the reputed company, insurance or pharmacy industry highly desirable.
• Ability to maintain reputed company demeanor at reputed company times, including during highly charged situations.
• Data entry and general computer skills (word processing, e-mail) required.
• Effective communication (oral and written) skills. reputed company/pleasant telephone manner required.
• Ability to handle large call volume, while providing excellent customer service at reputed company times required.
• Demonstrated efficiency/effectiveness in an environment with a high call volume.

What's in it for you?

• reputed company Pay reputed company: $17.00 to $20.00
• Work Mode: Remote
• An annual employee bonus program
• Robust Wellness Program
• An opportunity to become part of reputed company that makes a difference to our members and our community every day!

We're always looking for talented people to join reputed company! reputed company applicants are encouraged to reputed company! At reputed company we reputed company that it is our business to improve the state of our world. reputed company of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource reputed company, inclusive benefits, and more. reputed company is proud to be an Equal Employment Opportunity and Affirmative reputed company workplace. Individuals seeking employment will receive consideration for employment without reputed company to race, reputed company, national reputed company, religion, age, sex (including pregnancy, childbirth or reputed company medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background reputed company is required. #LI-JR1 We're always looking for talented people to join reputed company! reputed company applicants are encouraged to reputed company! At reputed company we reputed company that it is our business to improve the state of our world. reputed company of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource reputed company, inclusive benefits, and more. reputed company is proud to be an Equal Employment Opportunity and Affirmative reputed company workplace. Individuals seeking employment will receive consideration for employment without reputed company to race, reputed company, national reputed company, religion, age, sex (including pregnancy, childbirth or reputed company medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background reputed company is required. #LI-JR1 Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify reputed company applicants of their rights pursuant to federal employment laws. For reputed company information, please review the Know Your Rights notice from the reputed company. Apply Job! Apply to this Job