Job Description
Job DescriptionVery large Managed Care company with offices around NYC, is currently seeking an experienced Member Service Specialist to join their growing organization. This is a hybrid role (after probation) and comes with a competitive salary and benefits package. Please apply for more details!
Member Service Rep - Hybrid - Brooklyn
Under the supervision of Intake Business Director, Member Service Specialist manages new enrollments (data entry, enrollments updates and electronic submissions); maintains members’ electronic and initial enrollment records; provides enrollment records to QA department; maintains Organization Case List in UAS; provides office assistance to Intake/Outreach Department and performs related duties as assigned.
Key Responsibilities:
- Assesses all calls, interviews callers and in details explains plans and their covered benefits
- Manages and handles all information related to a referral and enrollment
- Inputs demographic information into the database and establishes initial Member Record
- Conducts plan-to plan transfers calls with New York Medicaid Choice/Maximus for prospective members assessed by Health plans Intake RNs and agreed to proceed with enrollment
- Provides support to Intake Clinical staff to obtain required CDPAS documents in accordance with Intake Department procedure.
- Prepares and provides Intake Records for Quality Assurance review and Health staff if required
- Provides support to the team/staff as needed
- Keeps Intake Business Director up to date on any issues
Qualifications:
- High School Diploma or equivalent. College degree preferred
- 2 years recent work experience in health care settings
- Excellent customer service skills
- Excellent verbal and written communicational skills
- Computer literate (Microsoft word, excel)
- Ability to multitask
- Bi-lingual Chinese or Russian preference
Compensation:
- Hourly salary: $30.2197
- Benefits include health insurance, retirement plans, paid time off, and professional development opportunities
#ZRCompany DescriptionRCM Health Care Services’ mission is to provide opportunities for qualified candidates across medical professions. We deliver timely results and have built a reputation of trust with our clients and candidates. Since 1975, we have been providing staffing solutions to many of the finest healthcare institutions across the nation and careers for thousands of candidates. As professional career opportunity matchmakers, we follow up and follow through to help our clients and candidates to reach their career and life goals. We proudly hold the Joint Commission Gold Seal of Approval as well.
Company Description
RCM Health Care Services’ mission is to provide opportunities for qualified candidates across medical professions. We deliver timely results and have built a reputation of trust with our clients and candidates. Since 1975, we have been providing staffing solutions to many of the finest healthcare institutions across the nation and careers for thousands of candidates. As professional career opportunity matchmakers, we follow up and follow through to help our clients and candidates to reach their career and life goals. We proudly hold the Joint Commission Gold Seal of Approval as well.