Posted in Other 30+ days ago.
Type: Full Time
Member Services Representative
Requisition ID
2020-14001
# of Openings
1
Area of Interest
Administration
Company
Elderwood
Location
Elderwood Health Plan
Position Type
Regular Full-Time
Shift
M-F 8am to 4pm
Join Our Team
Put the CARE back in CAREER - Join our team today!
Overview
Right Care. Right Employer. Join a company that cares for YOU!
Our Excellent, Competitive Compensation, and a Full Benefit Package includes:
Up and Coming downtown location with FREE PARKING!
- Competitive wages and opportunities for advancement
- Medical, Dental, Vision Insurance
- Life insurance
- 401(k) with matching
- Paid Holidays
- Generous Paid Time Off
Responsibilities
The Member Service Representative (MSR) is a part of the managed long term care interdisciplinary care team with responsibility for executing the non-clinical aspects of a participant's care as determined by the RN and MSW. This includes important functions such as assessments, supporting care plan development, authorizations, paperwork, and service ordering, handling participant inquiries, and essentially executing all of the \\"mechanics\\" behind the scenes. Specialists work seamlessly with assigned Care Managers to ensure everything that a participant needs to tend to their health is arranged or taken care of. The MSR also serves as the primary point of contact for members. The MSR will assist clients with questions, concerns and problems; offering solutions to our members regarding insurance policies and processes, billing, payments and plan changes.
Qualifications
- High School Diploma. An Associate's Degree preferred.
- Minimum 1 year experience in health care and/or regulatory related environment or in member services at a health agency or plan.
- Minimum of one (1) year experience working with a frail or elderly population.
- Must be in good standing with the Medicare and Medicaid programs.
- Bilingual skills are preferred, but not required.
- Knowledge of medical terminology, CPT-4 and ICD-9 coding, preferred but no required.
Company Details
As a Managed Medicaid plan, our mission is to provide services to seniors in the community or returning to the community. We have developed a premier provider network and employ a staff of care management professionals to help our members stay at home or return safely to home.
Employee Perks!
401K Retirement Plan with Company Match, Close to thruway entrances/exits, Employee of the Month recognition, Enjoy a fun and diverse work environment, Free On-Site Parking, Friendly and supportive staff, Life Insurance, Medical, Dental, and Vision insurance, Point-earning employee reward program: redeem for prizes!
EOE Statement
WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
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