Associate, Medicare- Member Service Representative

at  MVP Health Care

At MVP Health Care, we’re on a mission to create a healthier future for everyone – which requires innovative thinking and continuous improvement. To achieve this, we’re looking for an Associate, Medicare- Member Service Representative to join #TeamMVP. This is the opportunity for you if you have a passion for healthcare, customer service, and compliance.

QUALIFICATIONS YOU’LL BRING:

• High School diploma or equivalent when possesses customer service employment experience.
• Minimum 1 – 3 years customer service experience and/or relevant office experience required.
• Availability to work Monday- Friday from 11:30am- 8:00pm with the flexibility to work a flex Saturday shift for six months of the year.
• Experience in positions where adherence to strict confidentiality is required.
• Strong problem-solving ability with effective oral and written communication skills
• Have strong interpersonal skills and exhibit good judgment
• Demonstrated excellent customer service skills including superior accountability and follow through
• Demonstrated PC skills using Microsoft applications
• Curiosity to foster innovation and pave the way for growth
• Humility to play as a team
• Commitment to being the difference for our customers in every interaction

• The Associate, Medicare Member Service Representative is responsible for responding promptly, accurately, and effectively to all calls in a polite and professional manner.
• Responsible for providing optimum customer service as required to maintain existing members and prevent cancellations.
• Responsible for addressing member, internal and external customer inquiries, questions and concerns in areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care across a variety of insurance types.
• Responsible for meeting individual accessibility and quality goals, and team goals for industry standard benchmarks such as Average Speed of Answer, and Abandonment Rate
• Responds to all calls timely and have a clear understanding of call avoidance, such as but not limited to short calls, intentional disconnects, inappropriate transfers and inappropriate use of hold button.
• Performs data input in a highly accurate and timely manner on all customer contacts.
• Simultaneously accesses multiple databases while addressing customer’s needs.
• Clearly explains all policies and procedures on both incoming and out-going calls. On an ongoing basis, educates members about their benefits and MVP’s procedures.
• Develops a comprehensive understanding of all lines of business. Has the technical skills required to be able to perform task efficiently.
• Delivers information in a clear and confident manner.
• Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.