Member Services Specialist

Member Services Specialist

Tekfortune is a fast-growing consulting firm specialized in permanent, contract & project-based staffing services for world's leading organizations in a broad range of industries. In this quickly changing economic landscape, virtual recruiting and remote work are critical for the future of work. To support the active project demands and skills gaps, our staffing experts can help you find the best job for you. Location: Irving, TX, United States, 75039 Duration: 6 months Required Skills: Member Services Specialist Job Description:

Responsibilities

• Facilitates member & provider understand of the plan coverage and benefits by thoroughly researching inquiries in an efficient and professional manner
• Records all contact with customers, both verbal & written in the current MIS system
• Required to assist in training/re-training new and current employees
• Maintains accurate documentation of all telephone contact, walk-in customers, any mail inquiries by documenting to ensure a clear audit trail for reporting purposes
• Responsible for handling all incoming calls and the making of outgoing calls as needed in order to resolve any issues or questions
• Triage phone request to other areas such as Utilization Management and Provider Relations
• Handles incoming written correspondence in a timely and professional manner
• Excellent communication and knowledge of MIS system including but not limited to Microsoft Word and Microsoft Excel Education Essential Level High School Diploma