Member Services Representative

  • location: Louisville, KY
  • type: Temporary
  • salary: $12 per hour
easy apply

job description

Member Services Representative

If you are looking for a great Customer Service position in the healthcare industry and have call center experience please call Randstad today at 502-583-1237! Handles calls and correspondence from members and responds to inquiries, complaints and grievances within the established timelines. Responsible for clear and accurate responses to assure good communication of agreed upon resolutions.

Utilizes AT&T Language Line and the Telecommunications Digital Devise (TDD) when necessary to service non-English speaking or hearing impaired members.
Accurately identifies issues and refers to appropriate departments via EXP. All inquiries are input within timeframes as set by the department and are within departmental quality standards.
Identifies grievances from member.
Follows issue through to completion within established timeframes.
Adheres to guidelines for Enrollment/Disenrollment and consistently relays accurate information to members.
Forwards eligibility inquiries to Enrollment within department quality standard using EXP.
Ensures all inquiries are completed, closed or routed to correct department within 48 hours of receipt.
Appropriately uses and understands the following systems: Facets, State, EXP and Cisco.
Enters appropriate work codes and verifies understands proper use of Cisco system
Works with team to ensure goals are met and shares accurate and timely information.
Works to establish and maintain team goals and strives to improve team performance.
Works with team members to access problems and works to resolve conflict between fellow team members.
Utilizes independence and initiative by competently following up on matters requiring attention without needing reminders.
Demonstrates flexibility and cooperation when faced with changing priorities to meet shifting needs.
Maintains strict confidentiality of member information in performance of job functions.
Documents member information via IMAX including: member inquiries, complaints and grievances and maintains strict confidentiality of all such matters.
Takes responsibility for filing all written documentation to ensure information is easily accessible.
Perform other duties and projects as assigned.

Working hours: 8:00 AM - 6:00 PM

Key Competencies/Success Factors:
Lives the values: Integrity, Community, Collaboration and Stewardship, as defined in the performance appraisal.
Customer service and interpersonal skills.
Excellent ability to plan, organize and maintain multiple projects and files.
Excellent verbal and written communication skills.
Proficient experience using Outlook, Word, Excel and PowerPoint in a Windows operating system.
Must be detail oriented.
Ability to adapt to fluctuating situations and perform work of a detailed nature, avoiding errors.
ADA Physical Demands:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Stationary position: Must be able to remain in stationary position 75% of the time.
Use of hands: Continuous use of computer, telephonic and other electronic equipment.
Communicate: Frequent verbal and written communication.

Stationary position: Must be able to remain in stationary position 75% of the time.
Use of hands: Continuous use of computer, telephonic and other electronic equipment.
Communicate: Frequent verbal and written communication.
Position Qualifications/Requirements:
Education, Training and Experience:
Associate's degree preferred.
1-3 years of experience as a Customer Service Representative or comparable experience preferred.
Prior health care experience preferred.

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.

easy apply

get jobs in your inbox.

sign up

related jobs