Member Services Representative

Overview

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.

The MJHS Difference At MJHS, we are more than a workplace; we are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. We foster collaboration, celebrate achievements, and promote fairness for all. Our contributions are recognized with comprehensive compensation and benefits, career development, and the opportunity for a healthy work-life balance, advancement within our organization and the fulfillment of having a lasting impact on the communities we serve.

Benefits

include:

• Tuition Reimbursement for all full and part-time staff
• Generous paid time off, including your birthday!
• Affordable and comprehensive medical, dental and vision coverage for employee and family members
• Two retirement plans ! 403(b) AND Employer Paid Pension
• Flexible spending
• And MORE! MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)

Responsibilities

Responds to member and provider inquires and requests concerning benefits, claims and complaints within a call center environment in order to ensure high quality customer service to members and providers. Receives calls from members and providers. Responds to customers complaints and grievances.

Records all calls and detail. Receives requests for adjustments on claim issues. Receives requests for disenrollment.

Qualifications

• High School Diploma
• Minimum 6 months call center experience
• Microsoft Word
• Excellent skills in telephone communication and a professional demeanor
• Ability to manage multiple tasks and work consistently in a fast-paced environment
• Must live in the tri-state area (New York, New Jersey, Connecticut, and/or some parts of Pennsylvania) Min USD $41,000.00/Yr. Max USD $45,000.00/Yr.