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Job Title : Member Services Representative
Location : Irving, TX (75038) ON-SITE
Pay : $17.00-18.00 / hr. (based on experience)
Schedule : Must be available Monday Friday 8am to 5pm
Duration : Long-Term Contract
Job Duties :
The Customer Service Representative answers all incoming calls from sponsors, members, and providers, researches claim status, and assists in bringing resolution to claim problems.
This position is also responsible for maintaining positive relationships with physicians, providers, and practice managers within the provider network.
Provides high quality service daily to all callers.
Assists with special projects as assigned.
Answer incoming calls from members and providers and establishing / maintaining good rapport while balancing 2-3 phone queues
Provide accurate information regarding eligibility, benefit verification, network and contract status to callers
Provide information to callers concerning claims questions, research as necessary to assist in resolving issues related to claims reimbursement
Document accurate information
Qualifications / Requirements :
Minimum of 1-2 years of RECENT experience in the health insurance industry required (call center)
Must be willing to get the flu vaccination during flu season.
High School Diploma or GED is required
Application Process Includes :
Drug testing
Background check
Basic Clerical testing and reference checks
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