Member Services Representative

Member Services Representative

Versant Health is one of the nation's leading administrators of managed vision care, serving over 35 million of our clients' members across the United States. Our purpose is to make healthy vision a reality for everyone by improving access to care and education in the communities we serve. Fueled by our mission to improve members' lives with easy-to-use vision solutions rooted in choice value, and care, we believe that everyone has the power to become anything they set their sights on.

See how you can make a difference with the support of strong leadership and a team environment.

Versant Health: Making Healthy Vision a Reality for Everyone

The Member Services Representative ("MSR") is responsible for receiving, answering, and/or resolving calls received through a remote Call Center. The Call Center receives phone calls from insureds and their dependents, providers and their staff, employer/group staff, and brokers. The MSR will use companies Claims/Eligibility database to inquire on the status of claims, ID cards, addresses, and other issues as queried by the caller. Additionally, the MSR is the primary source for issuing authorizations when eligible for services.

Where you will have an impact.

• Provide timely and accurate information to basic incoming customer calls from members, providers, and other external & internal constituents including:
• Issuing authorizations
• Handling claims inquiries from providers and members
• Communicate the correct information regarding accessibility, claims status and other calls of a service nature
• Providing benefits information
• Process customer claims according to established department policies and procedures
• Checking voicemail boxes and handling customer/provider requests for:
• I.D. cards
• Authorizations
• Customer Service questions and issues
• Fulfill rapid call volume by handling the appropriate number of calls coming into the call center daily
• Complete Provider Relations requests for service
• Provide timely feedback to the company regarding customer service failures and/or customer/provider concerns
• Partner with Sales and Provider Relations to meet and exceed customers' expectations
• Provide excellent customer service and handle all customers in a professional and courteous manner
• Perform other duties as assigned

What's necessary to do the job?

Education - High School Diploma or Equivalent - Required - Notes: Business-related college courses preferred. Associates degree highly preferred

Experience - 2 Years - Required - Notes: 2+ years of customer service or call center experience preferred 2+ years of experience in the health care industry or insurance environment preferred Associates degree in lieu of experience will be considered

HIPAA & Security Requirements

All Associates must comply with the Health Insurance Portability Accountability Act of 1996 (HIPAA) as it pertains to disclosures of protected health information (PHI) as described in the Notice of Privacy Practices and HIPAA Privacy Policies and Procedures. As a component of job roles and responsibilities, Associates may have access to covered information, cardholder data or other confidential customer information which must be protected at all times. As a result, Associates must explicitly adhere to all data security guidelines established within the Company's Privacy & Security Training Program.

We offer a comprehensive and competitive total rewards package designed to support your health, financial well-being, and work-life balance. Benefits include medical, dental, and paid vision coverage; paid time off and company holidays; retirement savings with employer contribution; employee wellness resources; and professional development opportunities. Additional benefits may include flexible work arrangements, employee assistance programs, and other programs that support you both at work and beyond.

This role is compensated on an hourly basis. The expected hourly pay range for this position is $19.00 $21.00 per hour, based on factors such as experience, skills, and role requirements. Actual pay within the range will be determined during the hiring process and in accordance with applicable wage and hour laws.

Versant Health will never request money from candidates who seek employment with us and will never ask for any payment as part of the recruitment process.

Versant Health is a proud Equal Employment Opportunity and Affirmative Action employer dedicated to attracting, retaining, and developing a diverse and inclusive workforce. All qualified applicants will receive consideration for employment at Versant Health without regards to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, national origin, marital or domestic/civil partnership status, genetic information, citizenship status, uniformed service member or veteran status, or any other characteristic protected by law.

Our purpose is to make healthy vision a reality for everyone by improving access to care and education in the communities we serve. Fueled by our mission to improve members' lives with easy-to-use vision solutions rooted in choice, value, and care, Versant Health believes that everyone has the power to become anything they set their sights on.

Our team is guided by core Leadership PrinciplesPerspective, Care, Drive, and Ownershipwhich shape how we work, lead, and grow together.

Our Management Team is committed to fostering a strong and supportive culture, cultivating a thriving work environment, providing clear direction, optimizing resources, enabling innovative solutions, and driving meaningful results.