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Member Care Advocate

extra holidays

Remote:

Full Remote

Experience:

Mid-level (2-5 years)

Work from:

Maryland (USA)

Offer summary

Qualifications:

High school diploma or GED required, associate degree preferred., 4 years of administrative/customer service experience or equivalent., Experience in Call Center & Health Care industry., Excellent communication, organizational and PC skills., Professional certification preferred..

Key responsabilities:

Assist members with benefits and healthcare inquiries.
Answer phone calls and provide compassionate responses.
Conduct member contacts and schedule medical services.
Document all activities accurately in the system(s).
Undergo background check and maintain security clearance.

Nesco Resource Human Resources, Staffing & Recruiting SME https://www.nescoresource.com/

501 - 1000 Employees

See more Nesco Resource offers

Job description

Overview
Are you energized by working in a fast-paced call center and making a difference in the lives of members of the World Trade Center Health Program? Do you have excellent communication skills, strong customer service and organizational skills and want to be part of an organization where caring truly counts? Join our team of caring colleagues and help us make a difference in the lives of those, specifically survivors and the brave responders, directly affected by the September 11th terrorist attacks.

As a *** Government Solutions' Temp Member Care Advocate you will be responsible for providing high quality customer service to members of this important program.

Temp Member Care Advocate Responsibilities
Assist members with day-to-day benefits and health care related questions and/or issues
Answer phones and respond to incoming inquires timely and compassionately
Conduct member contacts related to benefit support, referral follow-up and resource inquiries
Assess callers' needs and triage to the appropriate internal team members per documented guidelines
Process incoming calls, voicemails, and chats from members and providers resolving their benefits related questions and issues in accordance with guidelines and policies.
Complete outbound calls to members and providers scheduling a variety of medical services in accordance with member and provider availability
Refer to resources and document all activities in system(s), ensuring contacts, information gathered, and next steps are properly documented
Performs other duties as assigned.

Qualifications
High school diploma or GED required. Associate degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.
Four (4) years of administrative and/or customer service experience or equivalent combination of education and experience required.
Experience working in a Call Center Environment preferred
Experience working in the Health Care industry preferred
Excellent oral and written communication skills
PC literate, including Microsoft Office products
Strong organizational skills
Good interpersonal skills
Ability to work in a team environment
Ability to meet or exceed Performance Competencies

Successful candidates will be required to undergo a financial and criminal background check and obtain and maintain confidential-level security clearance upon hire. We participate in the United States Federal Government E-Verify program to confirm the employment authorization of the employee upon hire.

Requirements:
Position will be Remote
Please review attachments on req for "Work from home criteria " and detailed Description. Supplier partners MUST confirm that candidates meet the work from home.

Screening questions to add to the resume:
Are you comfortable working in a fast-paced working environment where you are required to multitask?
Please tell me how you handle the stress of handling multiple calls throughout the day?
Please tell me how quickly you can learn new processes, systems, and respond to taking directions?
Do you have any experience working in a Call Center? If so, what were some of your strengths and weaknesses?
Do you have experience working in the medical or insurance industry?
Have you worked remotely? Do you have an area in your home where you can work undisturbed without interruptions?

Nesco Resource and affiliates (Lehigh G.I.T Inc, and Callos Resource, LLC) is an equal employment opportunity employer and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, or veteran status, or any other legally protected characteristics with respect to employment opportunities.