Member Service Representative Remote

The role of Reference Based Pricing (RBP) Member Services Representative is primarily responsible for providing attentive customer services to Personify’ s clients. This role manages incoming calls from both members and healthcare providers to assist in navigating RBP plans.

In this role you will wear many hats, but your knowledge will be essential in the following:

• Using top-notch interpersonal skills to help members understand their RBP plan and to decrease frustration
• Handling incoming calls from members and health care providers regarding a variety of requests including resolving barriers to care, reviewing member benefits and the provider payments
• Demonstrate and maintain professional oral and written communication skills
• Navigating multiple databases simultaneously for member research and resolution
• Answering questions about member benefits, claim processing and navigating multiple RBP partner portals.
• Possess a professional and friendly attitude and be able to quickly develop a rapport with customers over the phone
• Using excellent listening skills with the ability to ask probing questions, understand concerns, and overcome objections
• Accepting repetitive work tasks performed in a confined work area
• Consistently meeting established performance and quality standards
• Maintenance of thorough knowledge of systems so that information can be researched, and proper information is given to members
• Discipline to work from home as business needs dictate.
• All other duties as assigned.

Required Internet & Speed Standards for Remote Employees: Must maintain a reliable internet speed and meet the requirement of at least 10 Mbps upload speed and 20 Mbps download speed. Internet connection must be hardwired into modem/router (ethernet cable is provided). No MiFi or Wi-Fi connection is allowed when completing calls

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

• High school diploma or equivalent required
• Must have at least one year customer service experience in a call center environment, previous RBP experience preferred
• Excellent written and verbal communication skills
• Strong personal computer usage and Internet proficiency skills

You also take pride in offering the following Core Skills, Competencies, and Characteristics:

• Flexible with scheduling as business needs dictate
• Ability to listen attentively and to use information provided to assist members specific needs
• Strong work ethic and self-starter, able to effectively manage multiple priorities and adapt to change within a fast-paced business environment
• Strong customer service, analytical and decision-making skills
• Must be able to learn quickly in a fast-paced environment
• Ability to organize and follow-up on multiple tasks/details with accuracy and timeliness
• Ability to effectively interact with employees at all levels of the organization and work with a variety of people from diverse backgrounds
• Ability to learn and navigate new software quickly
• Ability to set at desk for prolonged periods of time.

No candidate will meet every single desired qualification. If your experience looks a little different from what we’ve identified and you think you can bring value to the role, we’d love to learn more about you!

In compliance with all states and cities that require transparency of pay, the base compensation for this position ranges from $16.00 to $21.00. Note that compensation may vary based on location, skills, and experience. This position is eligible for health, dental, vision, mental health and other benefits.

We strive to cultivate a work environment where differences are celebrated, and employees of all backgrounds are empowered to thrive. Personify Health is committed to driving Diversity, Equity, Inclusion and Belonging (DEIB) for all stakeholders: employees (at each organization level), members, clients and the communities in which we operate. Diversity is core to who we are and critical to our work in health and wellbeing.

#WeAreHiring #PersonifyHealth #Remote

Beware of Hiring Scams: Personify Health will never ask for payment or sensitive personal information such as social security numbers during the hiring process. All official communication will come from a verified company email address. If you receive suspicious requests or communications, please report them to talent@personifyhealth.com. All of our legitimate openings can be found on the Personify Health Career Site.

Application Deadline: Open until position is filled.