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| Job Title : Member Services/Outreach Representative |
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| Company |
XLHealth |
| Location |
San Antonio, Texas
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License/Certification Required |
Other
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Minimum Career Level |
Entry Level |
Required Education |
High School |
Major |
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GPA Required |
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| Job Type |
full-time,
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| Required Experience |
null |
| Required Travel |
none |
| Training Available |
YES |
| Salary |
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| Bonus |
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| Benefits |
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| JOB DESCRIPTION |
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Position Summary:
Responsible for providing high-quality customer service, analytical, and documentation support to exceed Care Improvement Plus’ customer expectations
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| JOB REQUIREMENTS |
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Required Education & Experience:
• High school diploma required or GED equivalent
• Minimum 3 years customer service experience, preferably in Medicare/Medicaid healthcare arena
• Possess solid customer service skills to educate Medicare/Medicaid beneficiaries
• Strong and successful sales experience related to insurance products preferred
• Computer skills consisting of experience with Windows-based applications and computerized lead management systems preferred Required Knowledge, Skills, and Abilities:
• Must possess a Health, Life Insurance and/or all appropriate state licenses to perform job duties and functions within 90 days of employment
• Excellent analytical, critical thinking and problem solving ability; comfortable with Medicare eligible client base; solid understanding of senior issues a must
• Must possess exceptional customer service, communication
• May be required to work weekends and evenings for special events
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| JOB RESPONSIBILITIES, DUTIES, TASKS |
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General Responsibilities:
• Conducts direct outbound phone activity of Care Improvement Plus Special Needs Plan products and services to beneficiaries and providers in Plan service areas
• Provides support to sales-related objectives via inbound/outbound customer calls; must be able to meet established call quotas
• Ensures accurate and appropriate documentation support that translates into successful development and maintenance of Care Improvement Plus products and services • Meets CMS and state requirements and ensures Medicare beneficiaries understand the products and services they are receiving, including guiding beneficiaries through the enrollment process
• Prepares reports setting forth progress, trends, and recommendations • Identifies problems, troubleshoots, and provides guidance to customers;
• Adheres and suggests improvement to policies and procedures regarding problem identification, documentation, distribution, and correction to ensure immediate resolution
• Serves as liaison with all other division operations and services to keep abreast of policy and procedural changes;
• Maintains working knowledge of Medicare/Medicaid regulations, managed care industry, pertinent legislation, and the competitive environment
• Other duties as assigned
We are proud to be an EEO/AA employer M/F/D/V. We maintain a drug-free workplace and perform pre-employment substance abuse testing.
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| JOB PERFORMANCE METRICS |
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| EMPLOYER DESCRIPTION |
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