Member Service Representative - 23-24/HR

NOW HIRING for Member Service Representatives to assist with answering questions from Medicare members!! This is with a leader in healthcare insurance in the state of MN!!! These positions are fully remote, but MUST LIVE in MN, IA, or WI!!!

MUST HAVES:

1+ years of healthcare experience

AND

1+ years of high volume phone experience 

Description:

• Answer, resolve, track and document telephone calls from members, providers, internal departments, and external agencies, in a timely and professional manner. 
• Research, resolve and communicate effectively with internal and external customers regarding member/provider concerns or issues. 
• Educate members and external customers on policies and procedures related to members’ health care program.
• Research and resolve inquiries from internal /external customers including: Enrollment, eligibility, ID cards, clinic changes, demographic changes, benefit coverage, claims, payments, member reimbursement, and demonstrated knowledge of CAG policies, procedures, and regulations. Utilize appropriate resources to respond to member inquiries. 
• Answer, resolve, track and document telephone calls from members and providers in a timely and professional manner. 
• Interpret member eligibility and coverage through thorough knowledge of the contracts, policies and procedures.
• Communicate with internal departments, members, providers and other customers regarding the transportation benefit in both verbal and written form, including faxing rides to providers at the appropriate times.

Shift:

various first shift and weekend schedules available