Top 2117 Member services representative Jobs in Doral Fl

Member Services Representative
Solis Health Plans —Doral, FL
- $18 - $20 an hour
- Spanish
- OSHA
- Computer literacy
- Health insurance
- Dental insurance
Quick Apply
7d
Physical Therapist Assistant
Fyzical Miami- Little River —Miami, FL
- $30.00 - $32.66 an hour
- Full-time
- CPR Certification
- Anatomy knowledge
- Vital signs
- Continuing education credits
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Licensed Insurance Customer Service Representative
UniVista Insurance —Miami, FL
- $15 - $18 an hour
- Full-time
- Computer literacy
- High school diploma or GED
- In-person
Quick Apply
1d
Licensed Insurance Customer Service Representative
UniVista Insurance —Miami, FL
- $15 - $18 an hour
- Full-time
- Computer literacy
- High school diploma or GED
- In-person
Quick Apply
1d
Licensed Practical Nurse (LPN) Nights - 3/12s
VITAS Healthcare —North Miami Beach, FL
- Part-time
- Nursing
- Mid-level
- Medical-surgical
- Disability insurance
- Health insurance
Quick Apply
Enrollment Services Representative - Miami Campus
FVI School of Nursing and Technology —Miami, FL
- $48,000 - $53,000 a year
- Full-time
- Spanish
- English
- Mid-level
- Health insurance
- Dental insurance
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Speech Therapist (Part Time)
Ann Storck Center —Fort Lauderdale, FL
- Part-time
- Classroom
- Computer literacy
- Adults
Embankment Foreman/ Assistant Superintendent
Thalle Construction Company —Florida
- Construction site
- 5 years
- Ability to lift 50 pounds
- Paid holidays
- Disability insurance
Quick Apply
Admissions Advisor- Miami Campus
FVI School of Nursing and Technology —Miami, FL
- $48,000 - $53,000 a year
- Full-time
- Spanish
- English
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Fast Track Financial Sales Manager/Partner ***Local Candidates Only***
New York Life Insurance Company —Miami, FL
- $60,000 - $150,000 a year
- Full-time
- Hybrid work
- Mid-level
- Business development
- US work authorization
- AD&D insurance
- Disability insurance
Quick Apply
Slot Shift Manager
Calder Casino —Miami Gardens, FL
- Mid-level
- 3 years
- Ability to lift 50 pounds
- Employee stock purchase plan
- Disability insurance
Quick Apply
Parts Sales Representative
Miami Star Truck Parts,LLC —Hialeah Gardens, FL
- $40,509.86 - $54,807.57 a year
- Full-time
- Bilingual
- Spanish
- Sales
- Health insurance
- Dental insurance
Quick Apply
3d
Financial Advisor
Retirement Consultant Services —Fort Lauderdale, FL
- $90,000 - $120,000 a year
- Full-time
- Background check
- Research
- Mid-level
- 401(k)
- Paid time off
Quick Apply
Medicare Compliance Specialist
Solis Health Plans —Doral, FL
- $60,000 - $70,000 a year
- Weekends as needed
- Microsoft Excel
- Microsoft Outlook
- Ability to walk for extended periods
- Health insurance
- Dental insurance
Quick Apply
2d
Temporary Campaign Organizer
Florida Education Association —Miami, FL
- Up to $80,000 a year
- Temporary
- Background check
- Spanish
- Microsoft Excel
- Health insurance
- 401(k) 4% Match
Quick Apply
Drainage Foreman/ Assistant Superintendent
Thalle Construction Company —Florida
- Construction site
- 5 years
- Ability to lift 50 pounds
- Paid holidays
- Disability insurance
Quick Apply
Sales Development Representative
Rhythm Innovations —Sunrise, FL
- Full-time
- Hybrid work
- Marketing
- Mid-level
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
Dewatering Foreman/ Assistant Superintendent
Thalle Construction Company —Florida
- Construction site
- 3 years
- Ability to lift 50 pounds
- Paid holidays
- Disability insurance
Quick Apply
Veterinarian
Brickell Bay Animal Hospital —Miami, FL
- From $130,000 a year
- Part-time
- Doctoral degree
- In-person
- Entry level
- Health insurance
- Dental insurance
Quick Apply
Client Service Representative
RAVA Group Container Services, Inc. —Miami, FL
- From $19 an hour
- Full-time
- Computer literacy
- QuickBooks
- In-person
- Paid training
- Health insurance
Quick Apply

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Member Services Representative

Solis Health Plans -
Doral, FL

Quick Apply

Job Details

$18 - $20 an hour
7 days ago

Benefits

Health insurance
Dental insurance
Vision insurance
401(k) matching

Qualifications

Computer operation
Spanish
Customer communication
Basic math
HIPAA
English
High school diploma or GED
Health information regulatory compliance
Data interpretation
Productivity software
Clinical confidentiality policies

Full Job Description

About us:

Solis Health Plans is a new kind of Medicare Advantage Company. We provide solutions that are more transparent, connected, and effective for both our members and providers. Solis was born out of a desire to provide a more personal experience throughout all levels of the healthcare journey. Our team consists of expert individuals that take pride in delivering quality service. We believe in a culture that collaborates and supports one another, and where success is interlinked, and each employee is valued. Please check out our company website at www.solishealthplans.com to learn more about us!

*Must be Bilingual in English and Spanish.*

Position is FULLY ON SITE Monday-Friday.

Location: 9250 NW 36th St, Miami, FL 33178.

Full benefits package offered on the first on the month following date of hire including: Medical, Dental, Vision, 401K plan with a 100% company match!

Our company has doubled size and we have experienced exponential growth in membership from 2,000 members to over 10,000 members!

Join our winning Solis Team!

Position Summary:

Solis Health Plans is looking for a Member Services Representative primarily responsible for providing quality, professional service to all customers when calls are received through the Member Services Department via telephone, written or in-person in accordance with Plan guidelines.

Essential Duties and Responsibilities:

Handles telephone, written and in-person inquiries in a courteous, professional, thorough, and timely manner to assure member satisfaction.
Assists callers on inquiries regarding coverage decisions, grievances, appeals, benefit interpretation, eligibility verification, medical group/PCP, explanation of how the plan works and how to utilize services, assists with information regarding referrals or authorizations, member complaints, identification card requests.
Must Report to the Doral HQ.
Responsible for maintaining customer service levels (abandonment rate, speed of answer and service level) within established parameters.
Is knowledgeable on plans benefit, CMS and Plans policies and procedure.
Applies high level of subject matter knowledge to solve a variety of common business issues.
Provides quality services effectively to increase the overall level of customer service and satisfaction as measured by CMS.
Identifies the differences between a Grievance, Appeal or Coverage Decision and process the request through the appropriate channels.
Identify, handle, document and/or route Utilization Management inquiries appropriately
Identify and document Coverage Determinations.
Documents all inquiries and complaints.
Interacts with other departments about member issues or concerns.
Approaches work in a meticulous and thorough manner, pays attention to detail and follows company scripts.
Manages time effectively and prioritizes tasks to meet deadlines.
Assists customers, family members and others with concern and empathy; respect their confidentiality and privacy and communicate with them in a courteous and respectful manner.
Complies with company policies and procedures and maintains confidentiality of customer medical records in accordance with state and federal laws.
Ensures compliance with all HIPAA, OSHA, and other federal, state and local regulations.
Participates in meetings, trainings and in-service education, as required.
Highly regulated environment.
Time frames to handle issues are in accordance with CMS time frames.
Interacts with members, family members, staff, visitors, government agencies, etc., under a variety of conditions and circumstances.

Qualification and Education:

Minimum of High School diploma or equivalent.
Minimum of 1year healthcare experience is required, with a preference for plan experience.
Working knowledge of the Privacy and Security Health Insurance Portability and Accountability Act (HIPAA) regulations.
Excellent communication skills, attention to detail, ability to set priorities appropriately and meet strict deadlines and the ability to manage multiple tasks simultaneously is required.
Excellent listening, interpersonal, verbal and written communication skills with individuals at all levels of the organization.
Excellent computer knowledge is required, including proficient knowledge of Microsoft Office
Familiarity with healthcare laws, regulations and standards.
Ability to compute basic arithmetic and work with numbers.
Must be patient in dealing with an elderly population and sympathetic to hearing or vision deficiencies.
Ability to work effectively independently, work with very little supervision and in a team environment.
Ability to read, analyze, and interpret technical procedures or governmental regulations.
Ability to effectively present information and respond to questions from groups of managers, clients, customers and the general public.
Ability to define problems, collect data, establish facts, and draw valid conclusions.
Strong decision-making, analytical skills.
Must be self-motivated, organized and have excellent prioritization skills.
Must be able to work well under stressful conditions.
Must be able to work in a fast paced environment.
Fluency in English and Spanish.

What set us apart:

Join Solis Health Plans as a Member Services Representative (Bilingual in Spanish) and become a catalyst for positive change in the lives of our members. At Solis, you will be part of a locally rooted organization deeply committed to understanding and serving our communities. If you are eager to embark on a purpose-driven career that promises growth and the chance to make a significant impact, we encourage you to explore the opportunities available at Solis Health Plans. Join us and be the difference!

Quick Apply

Refine Your Search

member services representative jobs in doral fl

Member Services Representative

Physical Therapist Assistant

Licensed Insurance Customer Service Representative

Licensed Insurance Customer Service Representative

Licensed Practical Nurse (LPN) Nights - 3/12s

Enrollment Services Representative - Miami Campus

Speech Therapist (Part Time)

Embankment Foreman/ Assistant Superintendent

Admissions Advisor- Miami Campus

Fast Track Financial Sales Manager/Partner Local Candidates Only

Slot Shift Manager

Parts Sales Representative

Financial Advisor

Medicare Compliance Specialist

Temporary Campaign Organizer

Drainage Foreman/ Assistant Superintendent

Sales Development Representative

Dewatering Foreman/ Assistant Superintendent

Veterinarian

Client Service Representative

I want to receive the latest job alert for member services representative in doral fl

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