Member Services Representative

Location: Albuquerque, NM
Date Posted: 10-10-2018
About us:
Morgan Stephens represents the nation’s top healthcare systems offering the highest compensation and benefits to our top candidates.   We are created and managed by experienced industry professionals in healthcare. As a leading provider of contract, contract to perm, and direct placement recruiting services to healthcare organizations throughout the United States, we have successfully served the needs of our employees and clients by placing thousands of quality healthcare professionals into organizations seeking top talent.
Open Position:
A fast growing and mission driven healthcare system is seeking motivated healthcare professionals for career advancement opportunities.  Candidate would be responsible for answering incoming calls from Members and Providers while ensuring high level of customer service and maximizing productivity with minimal down time. Candidate will also resolve basic types of customer service inquiries and perform routine duties including: healthcare benefits, eligibility, member material requests, provider look-up, and authorization calls and claims status. Prior member services experience is preferred.

Manage patient insurance plans from maintaining records to resolving discrepancies
Provide market information, certificates and additional identification cards
Review premium payments and applications for accuracy
Handle all financial aspects of accounts: premium payments, credit card payments, lock box downloads, direct deposit, and balancing of general daily deposits
Manage individual situations for patients such as managed care emergency out-of-area refunds; patient move requests; benefit reversals and managed care group processing

1-3 years’ prior insurance, healthcare or customer service experience(medical) required
High school diploma or equivalent
Experience with Microsoft Office skills
Strong analytical and problem solving skills
Seasoned customer service skills
Excellent verbal and written communication skills; and practical math applications
Conceptual thinking with ability to work independently as needed
Strong telephonic skills

For More Information:

Morgan Stephens ofrecemos reclutadores que hablan Espanol
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