What are the responsibilities and job description for the Member Services Rep II position at CommonSpirit Health?
The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health’s Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving quality of care and levels of service. Dignity Health MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local human resources that put patient care first.Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options including medical dental and vision plans for the employee and their dependents Health Spending Account (HSA) Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.
Responsibilities
Position Summary:
Answers incoming telephone calls from health plan members employers providers and health plans. Assesses purpose of call and provides appropriate information to callers including calls of a complex nature. Ensures work is completed in compliance with relevant regulatory agencies so as to maintain plan licensing. Follows department policies and procedures and meets regulatory quality standards. Serves as a resource for Level 1 Reps assisting with training of reps as requested.
Qualifications
Minimum Qualifications:
One or more (1 ) years of experience required working as a MSR I within the DHMSO environment and/or other Dignity Health facilities with similar environment and/or settings three or more (3 ) years’ experience working in a healthcare related call center environment experience working in managed care or similar healthcare business environment.- High School Diploma or GED equivalent required
Preferred Qualfications:
Medical office/terminology certification preferred.- Experience working with government plans such as Medicare and MediCal preferred
- Experience working with shared risk full risk delegated and self-funded plans preferred.
Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.
Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible employees may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit https://www.commonspirit.careers/benefits.
