Member Services Representative Express Employment Professionals - 3.8 Doral, FL Job Details Full-time $20 an hour 1 hour ago Benefits Employee discount Flexible schedule Qualifications Spanish Customer communication HIPAA English High school diploma or GED Attention to detail

Full Job Description Description:

As a member service representative you will be responsible for processing member complaints and identification card requests.

Responsibilities and duties:

Handles telephone, written, and in-person inquiries in a courteous, professional, thorough, and timely manner to assure member satisfaction. Provides quality services effectively to increase the overall level of customer service and satisfaction as measured by CMS. Identifies the differences between a Grievance, Appeal, or Coverage Decision and processes the request through the appropriate channels. Identifies, handles, documents, and/or routes Utilization Management inquiries appropriately. Records all inquiries and complaints. Manages time effectively and prioritizes tasks to meet deadlines. Is attentive to the caller's needs, and responds quickly, and competently to requests. Complies with company policies and procedures and maintains confidentiality of customer medical records by state and federal laws. Ensures compliance with all HIPAA, OSHA, and other federal, state, and local regulations. Assists customers, family members, and others with concern and empathy; respect them

Qualifications:

PREFERRED

Minimum of High School diploma 2 years of call center, medical front desk or other healthcare industry experience Excellent communication skills and attention to detail

REQUIRED

-

English & Spanish Job Type:

Full-time Pay:

$20.00 per hour

Benefits:

Employee discount Flexible schedule

Shift:

8 hour shift Day shift

Work Location:

In person