Very large Managed Care company with offices around NYC, is currently seeking an experienced Member Service Specialist to join their growing organization. This is a hybrid role (after probation) and comes with a competitive salary and benefits package. Please apply for more details! 

Member Service Rep – Hybrid – Brooklyn

Under the supervision of Intake Business Director, Member Service Specialist manages new enrollments (data entry, enrollments updates and electronic submissions); maintains members’ electronic and initial enrollment records; provides enrollment records to QA department; maintains Organization Case List in UAS; provides office assistance to Intake/Outreach Department and performs related duties as assigned.

Key Responsibilities:

• Assesses all calls, interviews  callers and in details explains plans and their covered benefits
• Manages and handles all information related to a referral and enrollment
• Inputs demographic information into the database and establishes initial Member Record
• Conducts plan-to plan transfers calls with  New York Medicaid Choice/Maximus  for prospective members assessed by Health plans Intake RNs and agreed to proceed with enrollment
• Provides support to Intake Clinical staff to obtain required CDPAS documents in accordance with Intake Department procedure.
• Prepares and provides Intake Records for Quality Assurance review and Health staff if required
• Provides support to the  team/staff as needed
• Keeps Intake Business Director up to date on any issues

Qualifications:

• High School Diploma or equivalent. College degree preferred
• 2 years recent work experience in health care settings
• Excellent customer service skills
• Excellent verbal and written communicational skills
• Computer literate (Microsoft word, excel)
• Ability to multitask
• Bi-lingual Chinese or Russian preference

Compensation:

• Hourly salary: $30.2197
• Benefits include health insurance, retirement plans, paid time off, and professional development opportunities