Member service representative jobs

May 30, 2023

Remote Member Service Representative

The Panther Group is looking for a hard working, dedicated call center representative to partner with our client in the healthcare industry! - Candidate must live in Massachusetts - Work from home opportunity DUTIES: Receives high volume inbound phone calls and triages to appropriate department. Meet or exceed department established key performance indicators. Adheres to assigned schedules to ensure appropriate phone coverage. EXPERIENCE/ SKILLS: High School Diploma or equivalent required. Associates degree or equivalent work. 6-12 months of customer service experience, preferred in health care, call center, retail, hospitality, or corporate office. Knowledge of medical terminology is preferred. Must have strong computer and telephone multitasking skills Must have the ability to navigates through multiple systems Accuracy in data input and documentation Strong written and oral communication skills...Member Service, Representative, Remote, Service, Retail, Staffing

The Panther Group Remote * (Shrewsbury, MA, USA)

May 30, 2023

Member Service Representative - Work From Home

[Call Center / Remote] - Anywhere in the U.S. / Competitive Weekly Pay / Medical benefits - As a Member Service Rep you'll: Advise and resolve any customer needs, and approach each interaction in an empathetic, and efficient manner; Assist with inquiries regarding pharmacy issues from members, providers, and pharmacy representatives; Exceed established performance goals in the areas of efficiency, call quality, customer satisfaction, first call resolution, adherence, and attendance...Immediate Hire >>

Broadpath Remote * (College Park, MD, USA)

May 30, 2023

Member Service Representative - Work From Home

[Call Center / Remote] - Anywhere in the U.S. / Competitive Weekly Pay / Medical benefits - As a Member Service Rep you'll: Advise and resolve any customer needs, and approach each interaction in an empathetic, and efficient manner; Assist with inquiries regarding pharmacy issues from members, providers, and pharmacy representatives; Exceed established performance goals in the areas of efficiency, call quality, customer satisfaction, first call resolution, adherence, and attendance...Immediate Hire >>

Broadpath Remote * (Gastonia, NC, USA)

HS

May 26, 2023

Remote Member Service Representative

- Intro: Are you an experienced Customer Service Representative looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered ???yes" to any of these questions ??? this is the position for you! Daily Responsibilities: This group will be on the phone with members to answer questions about their health insurance. Will be communicating with both members and providers. 95% of the calls will be inbound. Documenting communication from the calls in their internal database Requirements: 1+ years of call center customer service experience WFH experience 2+ years of customer service in various settings Good tenure in past positions, need to have record of good attendance. Strict attendance policy. HS Diploma or GED Hours for this Position: $19/hour Advantages of this Opportunity: Competitive salary, negotiable based on relevant experience...

Healthcare Support IA, United States, IA, USA

May 30, 2023

Solstice Specialty Sales Representative - Telecommute in OH - 2050250

**COVID-19 VACCINATION REQUIREMENT UPDATE:** We have updated our COVID-19 policy for new and existing employees. Learn more *This policy applies to US/ US territory candidates and employees only:* To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies now require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles require full COVID-19 vaccination as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements, and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment....

HealthMarkets Insurance Agency Remote * (Cleveland, OH, USA)

May 30, 2023

Billing and Follow Up Representative-II THoNE(Hospital Claims Billing) - EPFS (Remote)

Employment Type: Full time Shift: Description: POSITION PURPOSE = Work Remote Position = (Pay Range: $18.0229-$27.0010) Performs the day-to-day billing and follow-up activities within the revenue operations for an assigned Patient Business Services (PBS) location. Serves as a member of the billing and follow-up team assigned to a PBS location responsible for billing and follow-up of government and non-government accounts. Provides training and guidance to lower level colleagues and provide problem resolution as needed. This position reports directly to a Supervisor Billing & Follow-Up. ESSENTIAL FUNCTIONS Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions Performs daily activities as part of the billing and follow-up team in support of the revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate...

Trinity Health Remote * (Farmington, MI, USA)

May 30, 2023

Applications Analyst II or Senior - Remote Eligible

Southwest Power Pool (SPP) is about more than power. We're about the power of relationships. Our employees have the opportunity to work together to ensure electricity is delivered reliably and affordably to the millions of people living in our service territory. We have been voted one of Arkansas' Best Places to work by Arkansas Business and we are looking for a member of our team who is passionate about our mission to keep the lights on! We have a core ideology here at SPP that we stand by: Do the right thing, for the right reason, in the right way. We believe in supporting our employees through a fantastic benefits package: Competitive pay with bonus opportunities Excellent insurance package including three great medical plans to choose from, employer-paid short term disability, long term disability, and life insurance Relocation assistance Flexible working environment for positions that are eligible where employees have the flexibility to work from home and come in where...

SPP Remote * (Little Rock, AR, USA)

May 30, 2023

Operations Manager (Remote within South Carolina)

Operations Manager (Remote) Are you an experienced Healthcare Operations Manager looking for a new challenge? Do you value care management and quality improvement? Are you motivated, energetic, and excited to become part of the Kepro team? If so, you might be our next new team member! Note: In this role, you will primarily work from home, but you must also occasionally be able to report to our office in Richmond. To qualify, you must have an active, unrestricted RN license in the state of VA and you must live in the Richmond, VA or surrounding area. Who we need: Manages the day-to-day operations for the assigned contract or program, assuring quality customer service and support for clients and staff. Why us? Kepro is a rapidly growing national quality improvement and care management organization. We work to ensure that over 20 million people receive the right care, at the right time, in the right setting. People Focused. Mission Driven. Shape the future...

Keystone Peer Review Organization Remote * (Charleston, SC, USA)

May 30, 2023

Customer Service Manager (Remote)

(High Paying) Remote Sales American Income Life (part of Globe Life, a NASDAQ traded company) is looking for Benefit Representatives to help manage growing client needs and help provide both new and existing clients with the best products and services available. This is an opportunity to get a foot in the door with a company unlike any other, with career mobility to mid and upper level management. A Benefit Representative helps families establish what company programs are the best fit for them. All of this is done while working from home over the phone and using tools like zoom video chats. This is a virtual position, and depending on your location there may be local offices open if you want to go in. Why work for them? 1 word... CULTURE. I'm talking Instagram giveaways, Zoom happy hours, outrageous and funny virtual promotions and awards ceremonies. In fact it got them recognized as Forbes ranked "Top 25 happiest places to work". Apply today and see what they're all about....

Hire Standard Staffing Remote * (All cities, USA)

May 30, 2023

Remote Customer Service

Remote Customer Service American Income Life (part of Globe Life, a NASDAQ traded company) is looking for Benefit Representatives to help manage growing client needs and help provide both new and existing clients with the best products and services available. This is an opportunity to get a foot in the door with a company unlike any other, with career mobility to mid and upper level management. A Benefit Representative helps families establish what company programs are the best fit for them. All of this is done while working from home over the phone and using tools like zoom video chats. This is a virtual position, and depending on your location there may be local offices open if you want to go in. Why work for them? 1 word... CULTURE. I'm talking Instagram giveaways, Zoom happy hours, outrageous and funny virtual promotions and awards ceremonies. In fact it got them recognized as Forbes ranked "Top 25 happiest places to work". Apply today and see what they're all about....

Hire Standard Staffing Remote * (All cities, USA)

May 30, 2023

Utilization Management Nurse, RN - Remote - Florida

DescriptionThe Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.ResponsibilitiesThe Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or services for members.* Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas.* Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires...

Humana Remote * (St. Petersburg, FL, USA)

May 30, 2023

Programmer Developer II or Senior - Remote Eligible

Southwest Power Pool (SPP) is about more than power. We're about the power of relationships. Our employees have the opportunity to work together to ensure electricity is delivered reliably and affordably to the millions of people living in our service territory. We have been voted one of Arkansas' Best Places to work by Arkansas Business and we are looking for a member of our team who is passionate about our mission to keep the lights on! We have a core ideology here at SPP that we stand by: Do the right thing, for the right reason, in the right way. We believe in supporting our employees through a fantastic benefits package: Competitive pay with bonus opportunities Excellent insurance package including three great medical plans to choose from, employer-paid short term disability, long term disability, and life insurance Flexible working environment for positions that are eligible where employees have the flexibility to work from home and come into the office when...

SPP Remote * (Little Rock, AR, USA)

May 30, 2023

Customer Service Representative - Work From Home TX and AZ

Job DescriptionMUST RESIDE IN THE PHOENIX, AZ OR HOUSTON, TX METRO AREAThis position is based in Phoenix, AZ or Houston, TX and the ability to telework full time is required.Working on the weekends (both Saturday and Sunday) and on holidays is required.The 2nd Shift CSR hours are from 2:55 PM-11:25 PM AZ or 3:55 PM-12:25 AM CST on the weekdays. On the weekends, the hours vary. During Daylight Saving Time in the spring, the start time shifts to one hour earlier.The 2nd Shift CSR works in the Afterhours Centralized Call Center and supports multiple Aetna Medicaid state health plans across the country.Customer Service is the important first-line of contact with customers, setting the tone for how members, doctors and plan sponsor groups view our company. It provides members with the right information at the right time to help them make better decisions about their health and health care.Customer Service Representative is the face of Aetna and impacts members' service experience by...

CVS Remote * (Phoenix, AZ, USA)

May 30, 2023

Provider Network Operations Advisor - Remote, MS

Remote, work from home - Jackson or Hattiesburg, MS Summary: The Provider Network Operations Advisor serves as an integral member of the Network Operations Market Team and reports to the Senior Manager. The role manages and executes the strategic plan for independent and POD providers in the Mississippi market as well as supervising and partnering with other team members to drive success in the market. Responsibilities: Supporting the development, management and oversight of the physician/ provider network in his/her assigned territory Establishing and managing strong, solid relationships with assigned provider groups and their staff (e.g. physicians, practice managers, care coordination teams), as well as executing with provider group on initiatives that benefit the customer, provider, and health plan Assisting in initiatives and performing special projects and other duties as assigned by leadership Developing time and cost effective territory management in...

CIGNA Remote * (Hattiesburg, MS, USA)

May 30, 2023

Remote Customer Service Representative

Healthcare Call Center Associate(Work from Home!)Starting pay rate is $14.00 an hour - after training the pay increases to $15.00 an hour! Must have OPEN availability. Plenty of career growth opportunities within the healthcare team! Health benefits for you and your family including medical, dental, and vision, starting on day 1 of work! Paid time off. Many shifts available - . Fully work from home! Would you enjoy being part of a team that makes a difference in people's lives? Do you love helping people solve complex problems and delivering solutions? If so, this role is for you! About the Healthcare Call Center Associate role... As a member of the Customer Experience team, you assist customers with questions, inquiries, and issues related to their healthcare coverage. You manage a steady volume of incoming calls from customers while navigating multiple systems. Our call center associates are members of a supportive team. Your excellent customer service and communication skills...

Conduent Remote * (Lebanon, PA, USA)

May 30, 2023

Quality Supervisor (Remote)

Quality Supervisor (Remote) Are you an experienced Quality Supervisor looking for a new challenge? Do you value care management and quality improvement ? Are you motivated , energetic , and excited to become part of the Kepro team? If so, you might be our next new team member! Who we need: We are looking for a skilled call center Quality Supervisor. You will report to the Project Manager and will provide daily monitoring of the accurate and timely completion of the project s team activities including accuracy and timeliness of deliverables. You will lead our representatives to better performance and improve service quality. This individual will monitor customer service phone calls to assess overall compliance and customer service skills; ultimately striving for positive customer relationships, driving revenue, and overall customer satisfaction. The Quality Supervisor should be focused on improving the team of representative's and call center...

Keystone Peer Review Organization Remote * (Myrtle Point, OR, USA)

May 30, 2023

Staff Archaeologist (Hybrid Remote)

ABOUT YOU Are you passionate about the environment and ready to join an inclusive workplace, committed to leading new ideas and pathways, and to delivering value? If the answer is, "Yes!" then we have an exciting career opportunity for you as a Staff Archaeologist based in sunny California. This position will be hybrid with client site visits and field duties, with a mix of remote work - from home. Who are we? We are Montrose, a global environmental services provider offering environmental planning and permitting, measurement and analytical services, and environmental resiliency and sustainability solutions. Our qualified engineers, scientists, technicians, associates, and policy experts are proud of our collective expertise and the collaborative nature of our approach to helping clients. We strive to optimize environmental resiliency in a way that effectively complements our clients' decision-making and operations and efficiently fulfills their project requirements. We have...

Montrose Environmental Group Remote * (All cities, USA)

May 30, 2023

Senior Auto Appraiser - Supplement Team (Remote)

Why USAA? Lets do something that really matters. At USAA, we have an important mission: facilitating the financial security of millions of U.S. military members and their families. Not all of our employees served in our nations military, but we all share in the mission to give back to those who did. Were working as one to build a great experience and make a real impact for our members. We believe in our core values of honesty, integrity, loyalty and service. Theyre what guides everything we do from how we treat our members to how we treat each other. Come be a part of what makes us so special! The Opportunity We are seeking dedicated Senior Auto Appraisers for our Supplement Team. This is an hourly non-exempt position working a 5 day 40 hour work week. To work from home you must have internet bandwidth with minimum capability of consistent speeds of 25 Mbps download and 5 Mbps upload. Satellite or Wireless coverages are not currently approved. You must have the ability to...

USAA Remote * (Largo, FL, USA)

May 30, 2023

Senior Auto Appraiser - Supplement Team (Remote)

Why USAA? Lets do something that really matters. At USAA, we have an important mission: facilitating the financial security of millions of U.S. military members and their families. Not all of our employees served in our nations military, but we all share in the mission to give back to those who did. Were working as one to build a great experience and make a real impact for our members. We believe in our core values of honesty, integrity, loyalty and service. Theyre what guides everything we do from how we treat our members to how we treat each other. Come be a part of what makes us so special! The Opportunity We are seeking dedicated Senior Auto Appraisers for our Supplement Team. This is an hourly non-exempt position working a 5 day 40 hour work week. To work from home you must have internet bandwidth with minimum capability of consistent speeds of 25 Mbps download and 5 Mbps upload. Satellite or Wireless coverages are not currently approved. You must have the ability to...

USAA Remote * (New Port Richey, FL, USA)

May 30, 2023

Senior Auto Appraiser - Supplement Team (Remote)

Why USAA? Lets do something that really matters. At USAA, we have an important mission: facilitating the financial security of millions of U.S. military members and their families. Not all of our employees served in our nations military, but we all share in the mission to give back to those who did. Were working as one to build a great experience and make a real impact for our members. We believe in our core values of honesty, integrity, loyalty and service. Theyre what guides everything we do from how we treat our members to how we treat each other. Come be a part of what makes us so special! The Opportunity We are seeking dedicated Senior Auto Appraisers for our Supplement Team. This is an hourly non-exempt position working a 5 day 40 hour work week. To work from home you must have internet bandwidth with minimum capability of consistent speeds of 25 Mbps download and 5 Mbps upload. Satellite or Wireless coverages are not currently approved. You must have the ability to...

USAA Remote * (Clearwater, FL, USA)

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442 member service representative jobs found