Member Service Representative

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

WVU Medicine

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

WVU Medicine is a comprehensive health system affiliated with West Virginia University, providing medical services through a network of hospitals across West Virginia. The system includes notable facilities such as J. W. Ruby Memorial Hospital, WVU Medicine Children's, and various other regional medical centers. WVU Medicine offers a wide range of healthcare services, including specialized and advanced medical treatments such as robotic heart surgery. It's also involved in medical education, research, and community health initiatives, emphasizing a mission of delivering high-quality care to the communities it serves.

📋 Description

• Report to the Manager of Member and Provider Services • Take inbound calls from Peak Health members and answer questions ranging from general information to complex inquiries • Research and resolve member issues and questions with management and peers • Make outbound calls to members for issue resolution or to gather further information • Verify member information while addressing general questions • Respond to and resolve issues and inquiries to ensure an efficient and seamless member experience • Maintain open channels of member communication and conduct outreach as required • Meet production and quality standards and maintain work queues according to department standards • Communicate effectively with internal and external staff • Escalate issues to the next level of supervision as appropriate • Ensure accuracy of information gathered and shared on a member’s behalf • Attend required training classes and demonstrate proficiency and ability to learn • Maintain accurate documents, including timekeeping records • Perform other duties as assigned by the Management Team

🎯 Requirements

• High School diploma/GED • Two (2) years of customer service experience in a call center environment • Associate Degree, or greater, in related healthcare field (preferred) • Two plus years’ experience in a fast-paced call environment with processing and/or customer service experience (preferred) • Working knowledge of administrative and clerical procedures and systems such as word processing and managing files and records • Ability to take direction and navigate through multiple systems simultaneously • Excellent written and oral communication, customer service, interpersonal skills, and telephone etiquette • Ability to solve problems with predefined methods and guidelines to drive improved efficiencies and customer satisfaction • Familiarity with medical insurance services process • Exceptional attention to detail, organization, and ability to perform multiple tasks simultaneously • Ability to work remotely, including reliability, self-motivation, focus, and time management skills • Ability to communicate clearly, concisely, and articulately while being an astute listener • Ability to sit for extended periods of time • Ability to answer phone calls for extended periods of time • Ability to lift 10–25 lbs. • Travel requirement: 0%–25% • Proficiency with Microsoft Office Professional Suite (Outlook, Word, Excel, Access), Internet Explorer, and EPIC

🏖️ Benefits

• Full-time schedule of 40 hours per week