Member or Provider Services at Lenexa

Job Description

Position Purpose:

Receive and respond to member/customer inquiries via telephone and written correspondence in a timely and professional manner.

Position Responsibilities:

• Receive and respond to all telephone or written correspondence inquiries from members within established timeframes and policies.

• Assist members with plan benefits via telephone, in writing, in person or make referral to outreach representative as appropriate.

• Document in the computer system all members issues and resolution.

• Utilize current reference materials to assist and resolve any member inquiries.

• May coordinate member transportation.

Job Requirements

High school diploma or equivalent. At least +1 year customer service experience in a call center environment or 2+ years of customer service experience, preferably in a Medicare, Medicaid managed care or insurance environment. Depending on the state, bi-lingual may be preferred.

Country: USA, State: Kansas, City: Lenexa, Company: Sunflower State Health.