Member Services Advocate
:
Exciting opportunity to WORK AT HOME for a fast-growing healthcare organization! No selling & no quotas! Customer service only. We are seeking temporary Customer Service Representatives to join our call center member services operations team. In these positions, we are recruiting talented individuals that are looking to join a fast-paced, growing, and professional organization. Responsibilities: - Update account information such as temporary changes of address for shipping or alternate phone numbers.
- Educate members on how the supplemental OTC benefit works, including benefit amounts, and products available, and frequency of coverage.
- Identify member complaints and grievances and escalate according to client specific procedures.
- Assist health plan members with inquiries related to their OTC benefits and/or orders placed.
- Process requests for OTC items received from health plan members via mail or phone call
- Look up over-the-counter medicines on the formulary to verify if they are offered, and if a drug is not offered provide an explanation as to why.
- Make concise and detailed notations as it pertains to member records.
- Communicate with coworkers, management, staff, customers, and others in a courteous and professional manner.
- Conform with and abide by all regulations, policies, work procedures and instructions.
Education/Experience: - High school diploma or equivalent preferred.
- Minimum 6 months customer service experience is preferred
- Call center experience is preferred; healthcare and/or pharmacy industry experience a plus; or any equivalent combination of related training and experience.
- Above average computer, skill is required, including the ability to work in a Windows environment and multitask within multiple software programs simultaneously.
About Us WHO WE ARE Convey Health Solutions manages a myriad of administrative needs and make it easier for health plans to operate and provide valuable experiences for their members. How so? We focus on building specific technologies and services that uniquely meet the needs of government-sponsored health plans. OUR MISSION To improve health plan operations and elevate the customer experience. OUR VISION Empowering health plans to excel through technology, service and advisory experience. OUR VALUES Integrity First - Inspired Teamwork - Compliance Matters Equal Opportunity Employer
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