Member Services Advocate

 

Exciting opportunity to WORK AT HOME for a fast-growing healthcare organization!

Offers made on the spot to Qualified Candidates!

Payrate is $15.00 per hour.

 

We at Convey Health Solutions focus on building specific technologies and services that can uniquely meet the needs of government-sponsored health plans. We provide member management solutions for the rapidly changing healthcare world.

We are seeking Customer Service Representatives to join our call center member services operations team. In these positions, we are recruiting talented individuals that are looking to join a fast paced, growing and professional organization.

 

ESSENTIAL DUTIES AND RESPONSIBILITIES

As our customers share concerns and provide us with valuable feedback, your ability to recognize and complete the steps necessary to meet their needs will leave a permanent, lasting impression of the passion you have for helping them be at their best.

We make sure our customers are not alone when it comes to understanding their benefits and they will rely on you to advocate for them as you would your own family member.

In addition to the keys to success identified above that you will bring with you to the team, you will need to demonstrate the following abilities:

• Process requests for Over the Counter (OTC) items received from health plan members via mail or phone call
• Update account information such as billing options and changes of address or phone numbers
• Answer questions pertaining to mailings sent out by the company periodically
• Make concise and detailed notations as it pertains to member records
• Submit mail requests for beneficiaries such as ID cards
• Educate beneficiaries on how the plan works, including benefits, cost sharing, and levels of coverage
• Research premium billing discrepancies and prescription claims processed
• Ensure HIPAA regulations are maintained within the immediate environment.
• Responsible for concise and detailed notations as it pertains to member records.
• Handles outbound calls for purposes of validating information.
• Handles inbound calls by assisting members with a high level of accuracy and efficiency.
• Escalates any member issues to management as necessary.
• Responsible for maintaining a high level of call quality as set by client standards, which includes a 90% quality score and answering 80-85% of calls within 20 sec or less.
• Communicate with coworkers, management and customers in a courteous/professional manner.
• Conform with and abide by all regulations, policies, work procedures and instructions.
• Respond promptly when returning telephone calls and replying to correspondence.
• Act and behave in a professional manner to reflect a positive image of the company.

 

MONTHLY GOALS:

• Meet average QA score of 90%
• Comply with attendance guidelines of 98%
• Schedule adherence of 90% or higher
• Maintain AHT below certain standards

 

EDUCATION AND EXPERIENCE:

• Highschool Diploma is required and a college degree is a plus.
• One year of customer service experience is preferred
• Call center experience is preferred; healthcare and/or pharmacy industry experience a plus; or any equivalent combination of related training and experience.
• Good oral and written communication skills
• Good computer skills are required.

 

Job Type: Temporary

Benefits: Work from home

 

Equal Employment Opportunity Statement:

Convey Health Solutions is an Equal Opportunity Employer committed to fostering an inclusive and diverse workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, or any other status protected by applicable federal, state, or local law.

Convey Health Solutions also provides reasonable accommodations to qualified individuals with disabilities in accordance with applicable laws. Applicants requiring accommodation during the application or interview process should contact the Human Resources department.

 

NationsHealth Holdings, L.L.C. , based in Sunrise, Florida, is a provider of medical products and pharmacy benefits to Medicare participants and other seniors.