Member Care Advocate
: Job Details :


Member Care Advocate

NESCO Resource

Location: Southern Md Facility,MD, USA

Date: 2024-10-05T06:47:52Z

Job Description:

OverviewMake sure to apply with all the requested information, as laid out in the job overview below.Are you energized by working in a fast-paced call center and making a difference in the lives of members of the World Trade Center Health Program? Do you have excellent communication skills, strong customer service and organizational skills and want to be part of an organization where caring truly counts? Join our team of caring colleagues and help us make a difference in the lives of those, specifically survivors and the brave responders, directly affected by the September 11th terrorist attacks.

As a Government Solutions' Temp Member Care Advocate, you will be responsible for providing high quality customer service to members of this important program.

Temp Member Care Advocate Responsibilities
  • Assist members with day-to-day benefits and health care related questions and/or issues.
  • Answer phones and respond to incoming inquiries timely and compassionately.
  • Conduct member contacts related to benefit support, referral follow-up and resource inquiries.
  • Assess callers' needs and triage to the appropriate internal team members per documented guidelines.
  • Process incoming calls, voicemails, and chats from members and providers resolving their benefits related questions and issues in accordance with guidelines and policies.
  • Complete outbound calls to members and providers scheduling a variety of medical services in accordance with member and provider availability.
  • Refer to resources and document all activities in system(s), ensuring contacts, information gathered, and next steps are properly documented.
  • Perform other duties as assigned.
  • Qualifications
  • High school diploma or GED required. Associate degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.
  • Four (4) years of administrative and/or customer service experience or equivalent combination of education and experience required.
  • Experience working in a Call Center Environment preferred.
  • Experience working in the Health Care industry preferred.
  • Excellent oral and written communication skills.
  • PC literate, including Microsoft Office products.
  • Strong organizational skills.
  • Good interpersonal skills.
  • Ability to work in a team environment.
  • Ability to meet or exceed Performance Competencies.
  • Successful candidates will be required to undergo a financial and criminal background check and obtain and maintain confidential-level security clearance upon hire. We participate in the United States Federal Government E-Verify program to confirm the employment authorization of the employee upon hire.

    Requirements:

    Position will be Remote. Please review attachments on req for Work from home criteria and detailed Description. Supplier partners MUST confirm that candidates meet the work from home.

    Screening questions to add to the resume:
  • Are you comfortable working in a fast-paced working environment where you are required to multitask?
  • Please tell me how you handle the stress of handling multiple calls throughout the day?
  • Please tell me how quickly you can learn new processes, systems, and respond to taking directions?
  • Do you have any experience working in a Call Center? If so, what were some of your strengths and weaknesses?
  • Do you have experience working in the medical or insurance industry?
  • Have you worked remotely? Do you have an area in your home where you can work undisturbed without interruptions?
  • Nesco Resource and affiliates (Lehigh G.I.T Inc, and Callos Resource, LLC) is an equal employment opportunity employer and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, or veteran status, or any other legally protected characteristics with respect to employment opportunities.

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