Member Services Associate, Care Center Representative #638

Healthcare

Be a part of the transformation at MVP Health Care®. MVP Health Care is a nationally-recognized, regional not-for-profit health insurer. We care for more than 700,000 members across New York and Vermont and are powered by the ideas and energy of more than 1,700 employees. We employ talented people with diverse backgrounds and experience to make health insurance more convenient, more supportive, and more personal. The question we ask many times each day is: “how can we help you?”, which speaks to a philosophy that sets us apart as a health insurance company.

The customer care staff who work with our members and health care providers make a positive difference in peoples’ lives. If you’re ready to join a thriving, mission-driven company where you can create your own opportunities—it’s time to make a healthy career move to MVP. 

Member Services, Associate, Care Center
Status: Full-time,
Exempt: No 

This position is responsible for addressing member/subscriber/provider inquiries, questions and concerns in areas including enrollment, claims, benefit interpretation, and referrals/ authorizations. Most of your day will be spent making contact via telephone with combination of in office and/or virtually and written correspondence/ e-mail with our customers as needed. Representatives may handle a variety of insurance types including HMO, POS, PPO, ASO, Indemnity, NY and VT Exchange plans, Medicare and Medicaid. Qualified individuals will possess the ability to work in a fast-paced environment and deal with challenges inherent in a call-center atmosphere. 

The ideal candidate is motivated and accountable to self and the team, a problem-solver, takes feedback well, has excellent people skills, a positive attitude and enjoys working with people, striving to deliver excellent customer service on each call. We will provide 4- 5 weeks of paid training in a classroom setting, which may be in a virtual setting or in-person at an MVP location. Training will be held Monday – Friday from 8:30 a.m.-4:30 p.m. We will be happy to train you, but you must come in with great customer service skills – those we can’t train! Following training, individuals will move to their regular work schedule of full-time hours Monday – Friday. This position can be in office or remote. Performs other duties as assigned. 

POSITION QUALIFICATIONS
Minimum Education: High School diploma or equivalent when possesses customer service employment experience. Post high school education (Associates degree, college courses) preferred.
Minimum Experience: Successful customer service experience and relevant office experience. Experience in positions where adherence to strict confidentiality is required. Healthcare, health insurance experience preferred. Call Center experience preferred.
Remote Work Requirements: The candidate must be able to work from home and perform the position duties in a virtual setting. The home office setting must have reliable internet provided by the candidate. Office equipment required to perform the job duties will be provided and it is the responsibility of the candidate to keep the equipment in working order. The home office setting must be a quiet, private, and dedicated workspace during the assigned work hours.

Required Skills: 

•Excellent telephone/communication skills
•Strong problem-solving skills accompanied by effective written and verbal communication skills
•Demonstrated excellent customer service skills including superior accountability and follow through
•Demonstrated PC skills using Microsoft applications

Preferred Skills:
•Bilingual (Spanish speaking) preferred
•Familiarity with healthcare benefits and/or medical terminology
•Strong PC skills 

MVP Health Care is an Affirmative Action/Equal Opportunity Employer (PDF). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, genetic information, veteran status, or any other basis, e.g., Pay Transparency (PDF), protected by applicable federal, state or local law. Any person with a disability needing special accommodations to the application process, please contact Human Resources at hr@mvphealthcare.com

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