AltaStaff is a boutique staffing agency in downtown Chicago. Currently we are recruiting for full-time Member Service Representative to work with a Managed Care Organization. This is a Full time assignment with permanent placement opportunities with the organization. This position is ideal for those who are interested in customer service and Managed Care! This position will also provide many opportunities for personal and professional growth for those looking to expand their experiences within healthcare.
Job Description:
Respond to customer inquiries via telephone and written correspondence in a timely and appropriate manner.
- Respond to telephone or written correspondence inquiries from members and/or providers within established time frames utilizing current reference materials and available resources
- Provide assistance to members and/or providers regarding website registration and navigation
- Document all activities for quality and metrics reporting through the Customer Relationship Management (CRM) application
- Process written customer correspondence and provide the appropriate level of timely follow up
- May coordinate member transportation and make referrals to other departments as appropriate
- Maintain performance and quality standards based on established call center metrics including turn-around times
- Research and identify any processing inaccuracies in claim payments and route to the appropriate site operations team for claim adjustment