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Concierge Member Service Representative

Job not on LinkedIn

🕒 July 3

🌽 Illinois – Remote

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💵 $23 - $24 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 21%

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Logo of ZING. Enamel Whitening. Toothpaste, but magic.

ZING. Enamel Whitening. Toothpaste, but magic.

1 - 10 employees

Founded 2023

💄 Beauty

🛒 Retail

🧘 Wellness

Beauty • Retail • Wellness

ZING is a toothpaste company that specializes in enamel whitening with a unique formulation that promises to dissolve stains, repair enamel, and reduce sensitivity. Proudly made in the UK, ZING's products are vegan, cruelty-free, and 100% recyclable. Their toothpaste is designed to be enjoyable to use while providing effective dental care, with a focus on natural ingredients and sustainability.

📋 Description

• Provide service resolutions within targeted service levels and serve as first line of contact for escalated service issues • Aim to provide first-call resolution for inbound inquiries • Interact with members, providers, and other callers via phone, email, web services, and other channels • Perform data entry for all activity • Provide timely and accurate information while partnering with team members and departments to facilitate compliant, quality resolutions • Advise callers on onboarding, coverage details, benefits, and related information • Identify recurring questions or challenges and escalate trends to leadership for process improvement • Recommend service improvements based on member experience • Assist members with scheduling appointments with primary care physicians, specialists, or value-based providers • Coordinate end-to-end appointment execution, including scheduling, ride setup, pharmacy and prescription preferences, and follow-up appointments • Ensure in-network providers are available for scheduling and add/activate providers on applicable platforms • Conduct monthly/ongoing outbound call campaigns, including health risk assessment completion and annual wellness visit scheduling • Handle performance expectations related to CAHPS, member satisfaction, retention, quality, and Stars • Maintain target performance metrics, including call handling, caller satisfaction, quality, and STAR score initiatives • Provide proactive feedback to leadership when business execution challenges arise

🎯 Requirements

• High school diploma/GED • 2+ years in customer service • Preferably 1 year within a call center environment • Preferred: 2+ years in health insurance • Preferred: 1+ years in Medicare • Ability to navigate and comprehend Zing Health systems and partnering systems • Knowledge of CMS guidelines for membership, provider partnerships, marketing, enrollment/disenrollment, and claims • Comprehensive knowledge of Zing Health policies, procedures, products, services, and departmental processes • Ability to maintain target performance metrics and an average audit score of 95% on a rolling basis

🏖️ Benefits

• Medical, Dental, and Vision • Employer-Paid Life Insurance • Paid Maternal Leave • Paid Paternal Leave • 401(K) match up to 4% • Paid-Time-Off • Employee Assistance Programs • Supplemental benefits, including Spouse Insurance, Pet Insurance, Critical Illness coverage, and ID Protection

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