US
0 suggestions are available, use up and down arrow to navigate them
PROCESSING APPLICATION
Hold tight! We’re comparing your resume to the job requirements…
ARE YOU SURE YOU WANT TO APPLY TO THIS JOB?
Based on your Resume, it doesn't look like you meet the requirements from the employer. You can still apply if you think you’re a fit.
Job Requirements of Membership Representative II:
-
Employment Type:
Contractor
-
Location:
Phoenix, AZ (Onsite)
Do you meet the requirements for this job?
Membership Representative II
Careers Integrated Resources Inc
Phoenix, AZ (Onsite)
Contractor
Job Title: Membership Representative II
Job Location: Fully Remote
Job Duration: 6-7 Months (possibility of extension)
Shift: 8:00am - 4:30pm PST or CST
Job Summary:
Job Location: Fully Remote
Job Duration: 6-7 Months (possibility of extension)
Shift: 8:00am - 4:30pm PST or CST
Job Summary:
- Conduct retention outreach to existing members to educate the members on upcoming plan changes for the next year.
- Serves as an advocate to ensure members are well informed about plan and all questions or concerns have been resolved.
- Conducts direct outreach to new Medicare members to provide personal assistance with their new Medicare plans. Serves as an advocate to ensure members are well informed about plan benefits, provider options and how to use their new plan benefits.
- Serve as the member’s navigator during the onboarding process and address any plan questions and anticipate any issues that may arise.
- Determine the nature of the member's needs and interests; inform members of their plan resources and benefits with a focus on the member’s area of interest/needs.
- Log all interactions in required systems.
- Participates in regular member benefits training with health plan, including the member advocate/engagement role.
- High School diploma.
- 2 years experience in customer service, consumer advocacy, and/or health care systems.
- Call Center Experience.
- Work from Home Experience.
- Medicare and Duals Experience.
- Genesys Experience.
- Bilingual.
- Sales force and EPIC Experience.
- Microsoft Office Experience.
- Medicare/Medicaid background is strongly preferred.
- Candidates must be able to navigate multiple systems.
- Customer services / consumer advocacy skills.
- Experience conducting intake, interviews, and/or research of consumer or provider issues.
- Excellent written and verbal communication skills to collaborate internally and externally with members, providers, team members, and manager.
- Basic understanding of managed healthcare systems and Medicare.
Get job alerts by email.
Sign up now!
Join Our Talent Network!