Member Service Representative

  • Location
    Sacramento, California
  • Category
    Call Center
  • Job reference:
    US_EN_7_849091_2734699
  • Job Type
    Contract/Temp to Hire

                                    Member Services Representative

Ajilon Health Care is actively seeking a Member Service Representative in Sacramento, CA for a position with an established Health Care organization. We are seeking a candidate with excellent customer service skills and strong attention to detail.

Responsibilities:

  • Work to resolve all member questions regarding Commercial, Exchange, and/or Individual plans. 
  • Help customers, providers, brokers, and plan partners with claims-related billing inquiries as warranted.
  • Aid staff members in helping to resolve member issues to ensure resolution within prescribed time-frames.
  • Accurately record and refer appeals and grievances according to department protocols and procedures.
  • Meet department standards related to performance and attendance.
  • Employ tact, discretion, good judgment, and courtesy while interacting with clients and the public.

Experience

  • 1 year of experience working in a call center.
  • Previous experience working in the health care industry
  • Basic computer skills, routine databases, word processing, spreadsheet, graphics, etc.
  • Must be able to speak, read, write, and understand the primary language(s) used in the workplace

Employment type: Full-time

Work Hours: 9:30 am to 6:00 pm or 10:30 am to 7:00 pm, 40 hours per week

To learn more about this job opening, respond to this ad with your resume or email it to me directly at eben.mahoney@ajilon.com

 

 

 

 

 

Please apply with your CV to:

An Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or protected veteran status and will not be discriminated against on the basis of disability.

EEO - EEO Poster Suppl - Affimative Action Policy
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