Member Services Representative

Job TitleThe challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.The MJHS DifferenceAt MJHS, we are more than a workplace; we are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. We foster collaboration, celebrate achievements, and promote fairness for all. Our contributions are recognized with comprehensive compensation and benefits, career development, and the opportunity for a healthy work-life balance, advancement within our organization and the fulfillment of having a lasting impact on the communities we serve.Benefits include:Tuition Reimbursement for all full and part-time staffGenerous paid time off, including your birthday!Affordable and comprehensive medical, dental and vision coverage for employee and family membersTwo retirement plans! 403(b) AND Employer Paid PensionFlexible spendingAnd MORE!MJHS companies are qualified employers under the Federal Government's Paid Student Loan Forgiveness Program (PSLF)ResponsibilitiesResponds to member and provider inquires and requests concerning benefits, claims and complaints within a call center environment in order to ensure high quality customer service to members and providers. Receives calls from members and providers. Responds to customers complaints and grievances. Records all calls and detail. Receives requests for adjustments on claim issues. Receives requests for disenrollment.QualificationsHigh School DiplomaMinimum 6 months call center experienceMicrosoft WordExcellent skills in telephone communication and a professional demeanorAbility to manage multiple tasks and work consistently in a fast-paced environmentMust live in the tri-state area (New York, New Jersey, Connecticut, and/or some parts of Pennsylvania)MinUSD $41,000.00/Yr.MaxUSD $45,000.00/Yr.