Member Service Representative

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Peak Health

WebsiteLinkedInAll Job Openings

51 - 200 employees

⚕️ Healthcare Insurance

🤝 Non-profit

Healthcare Insurance • Non-profit

Peak Health is a health insurer and health insurance services company headquartered in Morgantown, West Virginia. It is owned by three not-for-profit health care providers: WVU Health System, Marshall Health Network, and Valley Health. Peak Health aims to improve community health outcomes by offering an inclusive, provider-led health plan for residents of West Virginia and surrounding areas. The company is committed to making health care more accessible, understandable, and collaborative, with a focus on reducing costs and administrative fees for patients and employers. Peak Health also offers Medicare Advantage coverage tailored for West Virginia seniors through partnerships with leading health systems.

📋 Description

• Verify member information while addressing general questions. • Responds to and resolves all issues/inquires to assure an efficient and seamless member experience. • Maintains open channels of member communications doing outreach as required. • Meets all production and quality standards, maintaining work queues according to department standards. • Effectively communicates with internal and external staff. • Elevates issues to next level of supervision, as appropriate. • Ensures accuracy of information gathered and shared on a member’s behalf. • Attends all required training classes, demonstrating proficiency and ability to learn. • Other duties as deemed appropriate by the Management Team. • Maintain accurate documents, including timekeeping records.

🎯 Requirements

• High School diploma/GED • Two (2) years of customer service experience in a call center environment • Excellent written and oral communication, customer service, interpersonal skills, and telephone etiquette. • Working Knowledge of administrative and clerical procedures and systems such as word processing and managing files and records. • Ability to solve problems with predefined methods and guidelines to drive improved efficiencies and customer satisfaction. • Familiarity with Medical insurance services process. • Ability to work remotely – this includes reliability, self-motivation, focus & time management skills.

🏖️ Benefits

• Standard office environment with electrical equipment (i.e., telephone, personal computer, copier, fax machines, etc.)