Healthcare Member Services Representative (Remote - Wisconsin Residents Only)

14 Jun 2024

Vacancy expired!

Job Description:This position is responsible to apply knowledge products, members and operations to accurately and effectively fulfill member service requests and inquiries. Answer, resolve, track and document telephone calls from members, providers, internal departments, and external agencies, in a timely and professional manner.

Research, resolve and communicate effectively with internal and external customers regarding member/provider concerns or issues.

Educate members and external customers on policies and procedures related to members’ health care program.

Research and resolve inquiries from internal /external customers including: Enrollment, eligibility, ID cards, clinic changes, demographic changes, benefit coverage, claims, payments, member reimbursement, and demonstrated knowledge of CAG policies, procedures, and regulations.

Interpret member eligibility and coverage through thorough knowledge of the contracts, policies and procedures.

Preferred Skills & Qualifications:High School graduate or the equivalent

1+ years of call center experience

Administrative healthcare experience preferred (Medicare, Insurance, Medical Terminology, Medical Billing, HIPPA)

This position requires candidates to be fully vaccinated or otherwise have medical/religious exemption

Hours (Shift Options)Sat, Sun, Mon, Tues, Wed 8:00-4:30 -OR- (4x10 shifts available) Sat, Sun, Mon, Tue 8:00-6:30

Sat, Sun, Mon, Tues, Wed 11:30-8:00 -OR- (4x10 shifts available) Sat, Sun, Mon, Tue 9:30-8:00

MTWHF 11:30-8:00

This is a full-time opportunity with a reputable company! If you or someone you know is interested in this position, please send a resume or call (920) 636-4126.About Aston Carter: At Aston Carter, we’re dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range of positions – from recruiting, sales and delivery to corporate roles. As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless.Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. Spanning four continents and more than 200 offices, we extend our clients’ capabilities by seeking solvers and delivering solutions to address today’s workforce challenges. For organizations looking for innovative solutions shaped by critical-thinking professionals, visit AstonCarter.com. Aston Carter is a company within Allegis Group, a global leader in talent solutions.The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call 888-237-6835 or email astoncarteraccommodation@astoncarter.com (%20astoncarteraccommodation@astoncarter.com) for other accommodation options. However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting. The Recruiter is the sole point of contact for questions about this position.

Full-time
  • ID: #42991805
  • State: Wisconsin Fonddulac 54935 Fonddulac USA
  • City: Fonddulac
  • Salary: USD TBD TBD
  • Showed: 2022-06-14
  • Deadline: 2022-08-13
  • Category: Et cetera