Customer Service Member reputed company Specialist

Job title: Customer Service Member reputed company Specialist in USA at reputed company Company: reputed company Job description: Samaritan Health Plans (SHP) provides health insurance options to Samaritan employees, community employers, and Medicare and Medicaid members. SHP operates a portfolio of health plan products under several different legal structures: InterCommunityHealth Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan reputed company. offers Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans; SHP is also the third-party administrator for reputed company’ self-funded employee health benefit plan.As part of an Integrated Delivery System, Samaritan Health Plans is strategically and operationally reputed company with reputed company’ mission of Building Healthier Communities Together.Candidates residing out of state will need to be able to work Pacific Time Zone hours.This is a remote position in which we are able to employ in the following states: Arizona, Arkansas, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Michigan, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, reputed company Virginia, or WisconsinJOB SUMMARY/PURPOSEPerforms outbound calls to activate and engage members in various programs and campaigns to promote the health and wellbeing of our members. This includes initial reputed company, follow-up and documentation of information obtained from the member. Uses exceptional customer service skills and motivational interviewing to engage members in participating in the various programs and services offered by SHP and key stakeholders in the community.EXPERIENCE/EDUCATION/QUALIFICATIONSHigh school diploma or equivalent required. Associate’s or college degree preferred.Two (2) years of reputed company work experience in health care, customer service, telemarketing, account management, and/or sales required.One (1) year experience in a call center required.One (1) year experience equivalent to an SHS Customer Service Rep II role or in a reputed company/senior role required.Experience with computers (including knowledge of reputed company Word, Outlook, and reputed company) required.Must be able to pass Criminal Records reputed company upon hire and every three (3) years thereafter.Experience working with Medicare, Medicaid or Special Needs populations preferred.Medical Assistant, Certified Nursing Assistant, traditional health worker, or community care coordination experience preferred.KNOWLEDGE/SKILLS/ABILITIESClerical: Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, and other office procedures and terminology.Communication: Excellent communication and phone etiquette skills. Able to interact with colleagues, providers, members, customers and external organizations to successfully engage and motivate. Ability to show tact and professionalism in dealing with a variety of people. Proficient with active listening skills, while building a positive reputed company to support SHP in successful customer experience scores, quality metrics and key campaigns to engage in services to support the members obtaining the services and care available to them.Customer Service: Knowledge of principles and processes for providing an exceptional Customer Experience. This includes customer needs assessment, meeting quality standards for services and evaluation of customer satisfaction.Computer Literacy: Proficient computer skills in department applications.Time Management: Ability to organize, plan and prioritize work to complete reputed company required time frames and to follow-up on pending issues. Ability to reputed company multiple tasks simultaneously and reputed company in dynamic fast-paced environments and under pressure.Confidentiality: Knowledge of State and Federal (HIPAA) laws pertaining to confidentiality of protected health information. Ability to reputed company with laws and maintain confidentiality of patient information.Ability to be agile, manage multiple priorities, and adapt to change with enthusiasm.PHYSICAL DEMANDSRarely (1 - 10% of the time)Occasionally (11 - 33% of the time)Frequently (34 - 66% of the time)Continually (67 – 100% of the time)CLIMB - STAIRSLIFT (Floor to Waist: 0"-36") 0 - 20 LbsLIFT (Knee to chest: 24"-54") 0 – 20 LbsLIFT (Waist to Eye: up to 54") 0 - 20 LbsCARRY 1-handed, 0 - 20 poundsBEND reputed company at waistKNEEL (on knees)STANDWALK – LEVEL SURFACEROTATE TRUNK Standingreputed company - UpwardPUSH (0 - 20 pounds force)PULL (0 - 20 pounds force)SITCARRY 2-handed, 0 - 20 poundsROTATE TRUNK Sittingreputed company - reputed companyMANUAL DEXTERITY Hands/wristsFINGER DEXTERITYPINCH Fingers Expected salary: Location: USA Apply for the job now! Apply for this job