Member Services Associate
Company: Aston Carter
Location: Ontario
Posted on: July 30, 2022
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Job Description:
Description:
We are actively seeking to hire a Member Services Advocate to serve
members by being an advocate and point of contact for member
questions and concerns regarding benefits, eligibility, referrals,
claims and any other aspects of plan benefits and services. Must be
able to ensure member satisfaction by providing superior customer
service and a willingness to help at all times while maintaining a
professional demeanor. Provide quality customer service by applying
SCAN Five Service Principles. Educate members, family, friends,
providers and caregivers regarding benefits and plan options.
Follow up with members by clarifying the customer's issue,
determine the cause, and identify and explain solutions. Escalate
appropriate member issues to management or other departments as
required. Consistently meets and/or exceeds the departmental
standards, including, but not limited to: quality, productivity,
and adherence to schedule and attendance. Respond appropriately and
in a timely fashion to members/internal staff/ and providers by
answering telephonic and written inquiries concerning benefits,
eligibility, referrals, claims and all other issues while following
departmental policies and procedures and job aids. Follow up on
issues, focusing on providing solutions and options for member, as
necessary through resolution of member issue. Increases member
satisfaction by following up and resolving member issues,
complaints, and questions in an efficient, timely and accurate
fashion; coordinates resolution with providers and other
departments as needed. Follow all appropriate Federal and State
regulatory requirements and guidelines applicable to SCAN Health
Plan operations, as documented in company policies and procedures.
Follow all HIPAA requirements. Documents transactions by completing
applicable member forms and summarizing actions taken in
appropriate computer system and following standards set by the
department or by other authorized individuals.
Skills:
Member Services, Call Center, Healthcare, Customer Service,
Bilingual Spanish, Insurance, benefits, enrollment, eligibility,
Bilingual, Spanish, Health Insurance, Health Plan
Top Skills Details:
Member Services, Call Center, Healthcare, Customer Service,
Bilingual Spanish
Additional Skills & Qualifications:
MUST HAVE: High School diploma or equivalent required. 1 - 2 years
call center or related customer service experience, required 1 - 2
years of prior experience with Medicare benefits, including
Medicare Advantage Plans preferred. Hours during training: 8-4:30
PM (Mon-Fri) After training: 8 AM - 8 PM (Mon-Sun) - must be
available to work weekends + any shift Bilingual candidates must
pass testing to qualify for $1 pay increase
Experience Level:
Entry Level
About Aston Carter:
At Aston Carter, we're dedicated to expanding career opportunities
for the skilled professionals who power our business. Our success
is driven by the talented, motivated people who join our team
across a range of positions - from recruiting, sales and delivery
to corporate roles. As part of our team, employees have the
opportunity for long-term career success, where hard work is
rewarded and the potential for growth is limitless.
Established in 1997, Aston Carter is a leading staffing and
consulting firm, providing high-caliber talent and premium services
to more than 7,000 companies across North America. Spanning four
continents and more than 200 offices, we extend our clients'
capabilities by seeking solvers and delivering solutions to address
today's workforce challenges. For organizations looking for
innovative solutions shaped by critical-thinking professionals,
visit AstonCarter.com. Aston Carter is a company within Allegis
Group, a global leader in talent solutions.
The company is an equal opportunity employer and will consider all
applications without regards to race, sex, age, color, religion,
national origin, veteran status, disability, sexual orientation,
gender identity, genetic information or any characteristic
protected by law.
If you would like to request a reasonable accommodation, such as
the modification or adjustment of the job application process or
interviewing process due to a disability, please call 888-237-6835
or email astoncarteraccommodation@astoncarter.com
(%20astoncarteraccommodation@astoncarter.com) for other
accommodation options. However, if you have questions about this
position, please contact the Recruiter located at the bottom of the
job posting. The Recruiter is the sole point of contact for
questions about this position.
Keywords: Aston Carter, Ontario , Member Services Associate, Other , Ontario, California
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