What are the responsibilities and job description for the Member Service Rep position at LHH Recruitment Solutions?
The Member Services Representative (MSR) is responsible for being the primary point of contact for members and providers who interact with internal departments or external entities, including Medical Groups, Health Care Providers, and Brokers.
Responsibilities
- Accurately record and refer appeals and grievances according to department protocols and procedures.
- Educate members on the Referral Program, the company website, and the self-service tools available online.
- Assist members, providers, brokers, and plan partners with claims-related billing questions and issues as needed.
- Work with inter and intra-department staff to help resolve member issues to ensure resolution within prescribed timeframes.
- Manage difficult or emotional customer situations, respond promptly to customer needs, solicit customer feedback to improve service, respond to service requests, and meet commitments.
Qualifications
Pay Details : $18.00 to $21.00 per hour
Search managed by : Joanna Calderon
Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.
Equal Opportunity Employer / Veterans / Disabled
To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to
The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and / or security clearance requirements, including, as applicable :
Salary : $18 - $21
