Member Services Representative, Sr. jobs in the United States

POSITION SUMMARY:

The Customer Services Representative (CSR) always presents a positive image to Florida Health Care Plans members. This position requires proficiency in answering calls, responding to emails, online chat, and in person support for FHCP members related to inquiries, complaints, grievances, & appeals. Must be accurate and efficient in researching benefits and assisting members in understanding their plan. The CSR must be timely and proficient in documenting all communication with members.

QUALIFICATIONS:
Education, Skills, and Experience:

• Excellent verbal and written communication skills required.


• Must be able to type a minimum of thirty (30) wpm with ninety (90) % accuracy.


• Proficient with Microsoft Word/Outlook and basic keyboarding skills required.


• Must be able to work independently and with others in a multi-disciplinary team environment.


• Strong problem solving, organizational and time management skills necessary.


• Must be able to diffuse difficult situations.


• Must be flexible in meeting the demands of all department operations.


• Must be capable of multitasking/adjust to constant changes.


• Minimum of a High School Diploma/GED required, or two years of college preferred.


• Two (2) years' experience with a Managed Care Organization preferred.


• Two (2) years' experience in the health care industry, preferably in public relations, Customer Service, or compliance/state & federal regulations preferred.


• Comprehensive understanding of Benefits' and Patient Rights is preferred.


• Knowledge of Medical terminology preferred.


• Bilingual-Spanish/English is a plus.