What are the responsibilities and job description for the Member Service Representative position at CoxHealth?
Summary
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Best in Class Work Environment
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5x Modern Healthcare Best Places to work
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America’s Greatest Workplaces 2023 – Newsweek
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Greatest Workplace for Women 2023, 2024 – Newsweek
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Greatest Workplaces for Diversity 2024 – Newsweek
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Best Employers for New Grads 2023 – Forbes
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Best Employers by State – Missouri – 2023 – Forbes
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Benefits
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Robust, fully customizable benefits package including Medical/Vision/Dental and more!
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No cost eCare visits
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Employer-provided mental health services for employees and eligible family members
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Retirement with employer match up to 7%
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Tuition discounts and reimbursement available for continuing your education
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CoxHealth Fitness Center and Child Care discounts
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Onsite delivery for CoxHealth Pharmacies and 1906 Employee Store
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Job Summary
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The Member Service Representative (MSR) will support multiple lines of business for benefit interpretation, claims, authorizations and membership inquiries. The MSR’s primary focus is to answer phone, or email inquiries from providers, members, customers or brokers regarding questions of coverage, claim status, benefit interpretation, billing and/or authorizations. This individual will be proficient in multiple lines of business, for example Medicare, group, and Individual Marketplace, translating health care related terminology into effective verbal or written communication for the end user to comprehend. In addition to addressing the caller professionally and properly, the MSR will need to document details of the interaction within the database, including any additional action steps taken as follow up.
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Job Requirements
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Education
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Required: High School Diploma or Equivalent
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Experience
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- Experience working in a customer service focused industry strongly desired.
- Health Care/Insurance environment preferred.
- Experience working in a call center preferred.
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Skills
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Excellent verbal and written communication skills.
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Able to work independently and collaboratively in teams.
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Self starter.
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Licensure/Certification/Registration
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N/A
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