Top 131 Metroplus Jobs

Call Center Representative I
MetroPlus Health Plan —New York, NY
- $48,791 a year
- Full-time
- Hybrid work
- Sales
- Research
- High school diploma or GED
EDI Analyst
MetroPlus Health Plan —New York, NY
- $85,000 - $95,000 a year
- Full-time
- Remote
- Computer science
- Computer Science
- 5 years
Customer Service Representative I
NYC Health + Hospitals —New York, NY
- $48,791 a year
- Full-time
- Sales
- Research
- High school diploma or GED
- Commuter assistance
- Paid holidays
Care Manager - Utilization Management (Must Have UAS Experience)
MetroPlus Health Plan —New York, NY
- $112,351 a year
- Full-time
- Remote
- RN License
- Physical & Rehabilitation Medicine
- Mid-level
Programmer Systems Analyst
MetroPlus Health Plan —New York, NY
- $105,000 - $115,000 a year
- Urgently hiring
- Remote
- 5 years
- Analysis skills
- Bachelor's degree
Finance Analyst
MetroPlus Health Plan —New York, NY
- $60,457 - $66,457 a year
- Full-time
- Hybrid work
- Research
- Mid-level
- Office
Medical Management Data Analyst
MetroPlus Health Plan —New York, NY
- $81,000 - $91,000 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- Master's degree
Medical Management Data Analyst
MetroPlus Health Plan —New York, NY
- $89,000 - $91,000 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- 3 years
Claims Adjustment Specialist I
MetroPlus Health Plan —New York, NY
- $48,791 - $50,593 a year
- Full-time
- Hybrid work
- Microsoft Word
- HIPAA
- Research
- Commuter assistance
- Paid holidays
Data Analyst
MetroPlus Health Plan —New York, NY
- $80,000 - $90,000 a year
- Full-time
- Hybrid work
- Computer science
- Computer Science
- 5 years
Contracting Coordinator
MetroPlus Health Plan —New York, NY
- $50,000 - $55,105 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- 3 years
Claims Administrative Analyst
MetroPlus Health Plan —New York, NY
- $65,000 - $70,000 a year
- Full-time
- Hybrid work
- Inventory management
- Mid-level
- Office
MetroPlus Case Manager I
MetroPlus Health Plan —New York, NY
- $85,000 - $85,490 a year
- Full-time
- Spanish
- Customer service
- Computer literacy
Medical Records Coordinator - CHS
NYC Health + Hospitals —New York, NY
- $69,730 a year
- Online Application
- Microsoft Word
- HIPAA
- Mid-level
- Commuter assistance
- Paid holidays
Care Manager
MetroPlus Health Plan —New York, NY
- $112,351 a year
- Online Application
- Hybrid work
- Nursing
- RN License
- Hospital
MuleSoft Developer
MetroPlus Health Plan —New York, NY
- $121,078 - $131,078 a year
- Full-time
- Hybrid work
- Computer science
- Computer Science
- 5 years
Claims Adjustment Specialist I
NYC Health + Hospitals —New York, NY
- $48,791 - $50,593 a year
- Full-time
- Hybrid work
- Microsoft Word
- HIPAA
- Research
- Commuter assistance
- Paid holidays
Manager of Provider Contract Configuration
MetroPlus Health Plan —New York, NY
- $130,000 - $140,000 a year
- Full-time
- Remote
- Bachelor's degree
- Senior level
- Communication skills
Medical Accounts Payable Analyst
MetroPlus Health Plan —New York, NY
- $55,000 - $64,791 a year
- Full-time
- Hybrid work
- Data analysis skills
- Mid-level
- Office
Peer Specialist
MetroPlus Health Plan —New York, NY
- $56,412 a year
- Full-time
- Hybrid work
- Microsoft Outlook
- High school
- 5 years

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Call Center Representative I

MetroPlus Health Plan -
New York, NY

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Job Details

Full-time
$48,791 a year

Qualifications

Customer communication
Research
High school diploma or GED

Full Job Description

Job Ref: TE0156
Category: Call Center
Department: CALL CENTER
Location: 50 Water Street, 7th Floor, New York, NY 10004
Job Type: Regular
Employment Type: Full-Time
Work Arrangement: Hybrid
Salary Range: $48,791.00 - $48,791.00

Position Overview:

Customer Service Representatives (CSRs) are responsible for providing comprehensive high-quality service to all customers. The primary responsibilities, include but are not limited to, answering customer calls, proactively working to resolve our members and providers questions and concerns, responding to and documenting all customer encounters, intaking complaints, conducting outreach and retention efforts, assisting with Primary Care Provider (PCP) selections and handling all provider inquiries related to eligibility, claims and authorizations.
Scope of Role & Responsibilities:

Strive for first call resolution, working to resolve member and provider issues as the point of contact
Utilize dual monitors and leverage computer-based resources to find answers to customer questions
Research and respond accurately to all customer inquiries related to eligibility, benefits/services, claims and authorizations.
Classify and record all customer encounters clearly and concisely.
Identify and escalate complex issues and provide follow-up/closure.
Identify and intake customer complaints capturing all pertinent information.
Assist members with PCP selection, as well as, locating providers and vendors within plan’s network.
Verify and update member demographic information.
Process requests for member materials, such as ID cards, member guide, provider directory, etc.
Handle enrollment inquiries and generate sales leads.
Handle disenrollment requests and pro-actively conduct retention efforts.
Perform outreach related to New Member Orientation and PCP term/reassign projects.
Process premium payments.
All other duties and special projects as assign by the Director of Customer Service.
Ability to work between 8:00 AM and 6:00 PM Monday - Friday, and 9:00 AM-5:00 PM Saturday.
Training class (Paid): 9:00 AM-5:00 PM Monday-Friday.

Required Education, Training & Professional Experience:

High School graduation or evidence of having satisfactory passed a High School Equivalency Program; and
Minimum 1 year experience in a call center environment; or
A satisfactory equivalent combination of education, training, and experience.
Managed care experience preferred.
Proven experience in providing excellent service to customers in various healthcare related areas, (i.e., insurance, doctor’s office, medical clinics).
Poise under pressure when dealing with difficult situations and potentially upset customers.
Ability to work in a fast-paced environment while keeping a high attention to detail.

Professional Competencies:

Integrity and Trust
Customer Focus
Functional/Technical Skills
Written/Oral Communication

#MHP50

#LI-Hybrid

Apply Now

Refine Your Search

metroplus jobs

Call Center Representative I

EDI Analyst

Customer Service Representative I

Care Manager - Utilization Management (Must Have UAS Experience)

Programmer Systems Analyst

Finance Analyst

Medical Management Data Analyst

Medical Management Data Analyst

Claims Adjustment Specialist I

Data Analyst

Contracting Coordinator

Claims Administrative Analyst

MetroPlus Case Manager I

Medical Records Coordinator - CHS

Care Manager

MuleSoft Developer

Claims Adjustment Specialist I

Manager of Provider Contract Configuration

Medical Accounts Payable Analyst

Peer Specialist

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