Member Services Advocate

Convey Health Solutions Holdings Inc.•Fort Lauderdale, FL

41d•$15•Remote

About The Position

Exciting opportunity to WORK AT HOME for a fast-growing healthcare organization! Offers made on the spot to Qualified Candidates! Payrate is $15.00 per hour. We at Convey Health Solutions focus on building specific technologies and services that can uniquely meet the needs of government-sponsored health plans. We provide member management solutions for the rapidly changing healthcare world. We are seeking Customer Service Representatives to join our call center member services operations team. In these positions, we are recruiting talented individuals that are looking to join a fast paced, growing and professional organization. ESSENTIAL DUTIES AND RESPONSIBILITIES As our customers share concerns and provide us with valuable feedback, your ability to recognize and complete the steps necessary to meet their needs will leave a permanent, lasting impression of the passion you have for helping them be at their best. We make sure our customers are not alone when it comes to understanding their benefits and they will rely on you to advocate for them as you would your own family member. In addition to the keys to success identified above that you will bring with you to the team, you will need to demonstrate the following abilities:

Requirements

Highschool Diploma is required and a college degree is a plus.
One year of customer service experience is preferred
Call center experience is preferred; healthcare and/or pharmacy industry experience a plus; or any equivalent combination of related training and experience.
Good oral and written communication skills
Good computer skills are required.

Nice To Haves

Call center experience is preferred
healthcare and/or pharmacy industry experience a plus

Responsibilities

Process requests for Over the Counter (OTC) items received from health plan members via mail or phone call
Update account information such as billing options and changes of address or phone numbers
Answer questions pertaining to mailings sent out by the company periodically
Make concise and detailed notations as it pertains to member records
Submit mail requests for beneficiaries such as ID cards
Educate beneficiaries on how the plan works, including benefits, cost sharing, and levels of coverage
Research premium billing discrepancies and prescription claims processed
Ensure HIPAA regulations are maintained within the immediate environment.
Responsible for concise and detailed notations as it pertains to member records.
Handles outbound calls for purposes of validating information.
Handles inbound calls by assisting members with a high level of accuracy and efficiency.
Escalates any member issues to management as necessary.
Responsible for maintaining a high level of call quality as set by client standards, which includes a 90% quality score and answering 80-85% of calls within 20 sec or less.
Communicate with coworkers, management and customers in a courteous/professional manner.
Conform with and abide by all regulations, policies, work procedures and instructions.
Respond promptly when returning telephone calls and replying to correspondence.
Act and behave in a professional manner to reflect a positive image of the company.