Member Services Representative

Brand New Day, HMO - Westminster, CA (30+ days ago)


Under the Supervision of the Membership Service Supervisor (MSS) the Membership Service Representative (MSR) is the first level contact for members, providers, and potential members who contact our Member Services Department. The MSR is responsible for answering incoming telephone inquiries regarding benefits, PCP changes, pharmacy, eligibility, claims and other aspects of plan benefits; and placement of outbound calls to members, providers, health plan providers and provider offices while providing a high level of customer service.

Two years’ experience in a Managed Care environment (Medicare and/or Medi-Cal preferred), High School Diploma or equivalent required, Certified Pharmacy Technician (with retail, PBM, or Medicare pharmacy service experience) preferred, Excellent and gentle telephone communication skills, Bi-lingual a must (Spanish / English).

Job Type: Full-time

Experience:

  • Managed Care: 1 year (Required)
  • Customer Service: 2 years (Preferred)

Education:

  • High school or equivalent (Preferred)

Language:

  • spanish (Required)

Work environment:

  • Call center