Member Service Representative
Folsom, California
Direct Hire
$20.00 - $23.00 per Hour
LHH seeks an experienced healthcare Member Service Representative in Folsom, CA.
Responsibilities:
Work onsite with consistent punctuality.
Answer calls with proper greetings and actively listen to understand client issues.
Provide clear and accurate information to resolve inquiries, using layman’s terms to ensure understanding.
Demonstrate empathy and utilize customer service techniques to calm upset callers.
Handle routine insurance changes, including adding dependents, changing doctors, and updating addresses.
Research and correctly quote benefits from Summary Plan Documents.
Investigate claims information as needed.
Log all call details into the system with proper notation.
Maintain strict confidentiality and comply with all HIPAA provisions.
Adapt to call center hours, with start times beginning as early as 6 AM.
Achieve a target of 80+ calls a day.
Maintain a high customer satisfaction score, aiming 90%+ positive feedback.
Adhere to attendance policy
Resolve customer inquiries efficiently
Knowledge, Skills, & Abilities:
Excellent written and verbal communication skills.
Maintain outstanding attendance and punctuality.
Strong problem-solving abilities and analytical skills.
Minimum of 4 years of call center experience in healthcare.
Proficiency in CPT and ICD codes, coinsurance understanding, and benefit quoting.
Ability to grow with the changing demands of the position and company.
Skilled in Microsoft Office Suite, including Excel.
Background in medical/benefits environments, UR/Claims/COBRA/FSA/Eligibility.
Additional Requirements:
Typing Assessment: Must pass a typing assessment (25 WPM) and a basic computer skills assessment.
Benefits:
Comprehensive Coverage: Medical, Dental, and Vision Benefits 100% employer-paid for employee coverage, effective the 1st of the month following a 30-day waiting period (employee responsible for dependent premiums).
Self-insured Plans: EPO/PPO, Dental, and Vision plans.
Life Insurance: $50K Group Life Insurance, AD&D, LTD plan.
Support Programs: EAP program.
Retirement Plan: 401K plan.
Voluntary Options: Additional Life Insurance (employee, spouse, child), Cancer, Accident, FSA, Pre-paid legal services.
This position is ONSITE
Pay Details: $20.00 to $23.00 per hour Search managed by: Joanna CalderonEqual Opportunity Employer/Veterans/Disabled
To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/us/en/candidate-privacy
The Company will consider qualified applicants with arrest and conviction records subject to federal contractor requirements and/or security clearance requirements.
Member Service Representative
LHH
0 days ago
$20.00 - $23.00 per Hour
Direct Hire
Folsom, California
LHH seeks an experienced healthcare Member Service Representative in Folsom, CA.
Responsibilities:
Work onsite with consistent punctuality.
Answer calls with proper greetings and actively listen to understand client issues.
Provide clear and accurate information to resolve inquiries, using layman’s terms to ensure understanding.
Demonstrate empathy and utilize customer service techniques to calm upset callers.
Handle routine insurance changes, including adding dependents, changing doctors, and updating addresses.
Research and correctly quote benefits from Summary Plan Documents.
Investigate claims information as needed.
Log all call details into the system with proper notation.
Maintain strict confidentiality and comply with all HIPAA provisions.
Adapt to call center hours, with start times beginning as early as 6 AM.
Achieve a target of 80+ calls a day.
Maintain a high customer satisfaction score, aiming 90%+ positive feedback.
Adhere to attendance policy
Resolve customer inquiries efficiently
Knowledge, Skills, & Abilities:
Excellent written and verbal communication skills.
Maintain outstanding attendance and punctuality.
Strong problem-solving abilities and analytical skills.
Minimum of 4 years of call center experience in healthcare.
Proficiency in CPT and ICD codes, coinsurance understanding, and benefit quoting.
Ability to grow with the changing demands of the position and company.
Skilled in Microsoft Office Suite, including Excel.
Background in medical/benefits environments, UR/Claims/COBRA/FSA/Eligibility.
Additional Requirements:
Typing Assessment: Must pass a typing assessment (25 WPM) and a basic computer skills assessment.
Benefits:
Comprehensive Coverage: Medical, Dental, and Vision Benefits 100% employer-paid for employee coverage, effective the 1st of the month following a 30-day waiting period (employee responsible for dependent premiums).
Self-insured Plans: EPO/PPO, Dental, and Vision plans.
Life Insurance: $50K Group Life Insurance, AD&D, LTD plan.
Support Programs: EAP program.
Retirement Plan: 401K plan.
Voluntary Options: Additional Life Insurance (employee, spouse, child), Cancer, Accident, FSA, Pre-paid legal services.
This position is ONSITE
Pay Details: $20.00 to $23.00 per hour Search managed by: Joanna CalderonEqual Opportunity Employer/Veterans/Disabled
To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/us/en/candidate-privacy
The Company will consider qualified applicants with arrest and conviction records subject to federal contractor requirements and/or security clearance requirements.