Member Svc. Rep. - Bronx, NY - Russian or Chinese speaking preferred!

CareSource Management Services • New York City, NY

18d • Onsite

About The Position

Responsible for receiving and handling incoming calls on the general 1-800 numbers and provide first call resolution for members and callers. Directs calls as necessary and/or takes detailed messages if unable to complete request of caller. Provides excellent customer service to all callers/customers and provides requested information as needed.

Requirements

• High School or GED required
• One (1) year Previous Call Center Experience preferred
• Previous experience working in a healthcare setting preferred
• Fluency (speaking, reading, and writing) in multiple languages as determined by needs of business is required
• Must have experience working in a fast-paced environment.
• Must have exceptional customer service skills, excellent communication skills, attention to detail and possess a good work ethic.
• Proficiency working with computer is necessary.

Nice To Haves

• Associates or Bachelor's degree preferred
• Russian or Chinese speaking preferred

Responsibilities

• Answer and handle phone calls and warm transfer only as needed.
• Assist members with finding providers and setting up appointments.
• Demonstrate knowledge of eligibility and benefits for all plans.
• Provide information to callers about our Plans.
• Write notes for all incoming calls in CaseTrakker.
• Document care management notes captured during member call and works closely with care management team to support member needs.
• Completes grievance and incident reports.
• Assist members with calling DME vendors, pharmacy, doctors and other providers as needed to coordinate services.
• Perform any other job related duties as requested.

Benefits

• In addition to base compensation, you may qualify for a bonus tied to company and individual performance.
• We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED