Member Service Specialist Position Available In Kings, New York

Member Service Specialist

Location:

Brooklyn, New York

Job Type:

Direct Hire

Work Site:

Onsite

Category:

Non Clinical

Skills:

Salary Low:

$30.2197•

Salary High:

$30.2197

Duration:

2 Weeks

Shift:

Position:

309218
Job Description
Very 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
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