Member Service Representative
LHH Recruitment Solutions, Sacramento, California, United States, 95828
As a Member Service Representative you will be the go-to resource for members and providers who need support navigating health plans, services, and benefits. You'll play a key role in ensuring timely, accurate, compassionate service by:
Recording and routing appeals and grievances according to established procedures.
Educating members on referral processes, online tools, and key resources.
Assisting members, providers, brokers, and partners with claims or billing inquiries.
Collaborating across departments to resolve issues within required timeframes.
Managing challenging conversations with professionalism, empathy, and tact.
Reporting system or call-related issues requiring urgent attention.
Providing courteous, informed support to all individuals encountered in your work.
Qualifications
High School Diploma.
A minimum of 2 years of experience working in a call center
A minimum of 3 years of previous experience working in the healthcare industry (required), HMO experience is a plus.
Basic computer skills, including electronic mail, routine databases, word processing, spreadsheets, graphics, Salesforce, Genesis, etc.
Ability to type 40 WPM or higher
Bilingual in any language is a plus!
Eligible for hybrid work post training 4-6 months.
Pay Details:
$22.00 to $25.00 per hour
Search managed by:
Joanna Calderon
Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.
Equal Opportunity Employer/Veterans/Disabled
Military connected talent encouraged to apply
To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/us/en/candidate-privacy
The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
The California Fair Chance Act Los Angeles City Fair Chance Ordinance Los Angeles County Fair Chance Ordinance for Employers San Francisco Fair Chance Ordinance
Massachusetts Candidates Only:
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
Recording and routing appeals and grievances according to established procedures.
Educating members on referral processes, online tools, and key resources.
Assisting members, providers, brokers, and partners with claims or billing inquiries.
Collaborating across departments to resolve issues within required timeframes.
Managing challenging conversations with professionalism, empathy, and tact.
Reporting system or call-related issues requiring urgent attention.
Providing courteous, informed support to all individuals encountered in your work.
Qualifications
High School Diploma.
A minimum of 2 years of experience working in a call center
A minimum of 3 years of previous experience working in the healthcare industry (required), HMO experience is a plus.
Basic computer skills, including electronic mail, routine databases, word processing, spreadsheets, graphics, Salesforce, Genesis, etc.
Ability to type 40 WPM or higher
Bilingual in any language is a plus!
Eligible for hybrid work post training 4-6 months.
Pay Details:
$22.00 to $25.00 per hour
Search managed by:
Joanna Calderon
Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.
Equal Opportunity Employer/Veterans/Disabled
Military connected talent encouraged to apply
To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/us/en/candidate-privacy
The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
The California Fair Chance Act Los Angeles City Fair Chance Ordinance Los Angeles County Fair Chance Ordinance for Employers San Francisco Fair Chance Ordinance
Massachusetts Candidates Only:
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.