Member Services Representative-Temp at AIDS Healthcare Foundation

Los Angeles, California, United States -

Full Time

Start Date

Immediate

Expiry Date

04 Feb, 26

Salary

0.0

Posted On

06 Nov, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Customer Service, Enrollment Processing, Eligibility Processing, Compassionate Communication, Call Center Operations, Regulatory Compliance, Grievance Handling, Transportation Booking

Industry

Hospitals and Health Care

Description

WHO WE ARE AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation! Does the idea of doing something that really makes a difference in people’s lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its employees? If so, AIDS Healthcare Foundation is the place for you! Founded in 1987, AIDS Healthcare Foundation is the largest specialized provider of HIV/AIDS medical care in the nation. Our mission is to provide cutting edge medicine and advocacy, regardless of ability to pay. Through our healthcare centers, pharmacies, health plan, research and other activities, AHF provides access to the latest HIV treatments for all who need them. AHF’s core values are to be: • Patient-Centered • Value Employees • Respect for Diversity • Nimble • Fight for What’s Right STILL INTERESTED? Please continue! YOUR CONTRIBUTION TO OUR SUCCESS! The Member Services Representative (MSR) serves enrollees in California, Florida and Georgia who are enrolled in AHF’s Medicare and Medi-Cal managed care plans. The MSR answers enrollee, prospective enrollee and AHF Healthcare Center patient calls, emails and electronic chats coming into the Member Services and AHF Patient Relations call center. He or she also answers provider calls regarding enrollee eligibility or claims status enquiries. The MSR actively supports enrollment and eligibility processing functions and enrollee materials distribution. The MSR answers incoming contacts to the call center to meet contractual and regulatory requirements for call center operations that support Medicare and California Medi-Cal managed care plans. He or she participates in the Member Services Department’s processes to meet enrollment and disenrollment timeliness; complaint, grievance and appeal intake documentation and acknowledgement; and enrollee non-emergency transportation booking rules. The MSR demonstrates his or her success in this role by contributing to Member Services operation so it complies with Centers for Medicare and Medicaid Services (CMS) and California Department of Health Care Services, regulations, yet delivers thorough service to enrollees and providers in a professional, competent and compassionate manner. AHF Commitment We at AIDS Healthcare Foundation believe that each individual is entitled to equal employment opportunities without regard to race, color, creed, gender, sexual orientation, gender identity, marital status, national origin, age, veteran status or disability. The right of equal employment opportunity extends to recruiting, hiring selection, transfer, promotion, training and all other conditions of employment. AHF will consider qualified applicants with criminal histories in a manner consistent with the requirements of the ordinance.

Responsibilities

The Member Services Representative (MSR) serves enrollees in California, Florida, and Georgia, answering calls, emails, and chats related to Medicare and Medi-Cal managed care plans. The MSR also supports enrollment and eligibility processing and ensures compliance with CMS and California Department of Health Care Services regulations.