Elderwood/Pediatric/PostAcute/Woodmark Customer Service Representative in Buffalo, New York
Join our strong and growing company today!
Immediate opening for a Member Service Representative/Customer Service Professional in Buffalo, NY!
Elderwood Health Plan is currently seeking a Member Service Representative to join our managed long-term care interdisciplinary (MLTC) team. In this role, you are responsible for providing customer service for the non-clinical aspects of our Members’ person-centered plan of care. This is a critical role as this Member Services/ Customer Service Representative will serve as the primary point of contact for our Members.
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Our Member Service Representatives (MSR) are responsible for the non-clinical aspects of an EW Health Plan members’ person-centered plan of care and will serve as the primary point of contact of customer service for members. An important part of this role is maintaining a high level of professionalism and establishing a rapport with every member
Other tasks include:
Assisting with Member concerns
Handling Member inquiries
Completing necessary authorizations and triaging calls to the necessary team
Interacting/partnering with other departments including claims, intake, enrollment, and provider services to resolve member and provider issues
Assisting the Care Management Team with the following:
request clinical information
coordinating medical supply delivery
creation of authorizations within electronic medical record
Participating in special projects as assigned, such as Disease Management, Utilization Management, and Quality Improvement activities
Identifying barriers to member care and elevating awareness of Member or Provider need and collaborating with team to develop solutions
High School Diploma or equivalent; an associate degree preferred
Minimum one (1) year experience within an MLTC or Health Care setting
Minimum of one (1) year experience working with a diverse and medically fragile population
Proficient computer skills, including working knowledge of Microsoft 365 and electronic medical record (EMR)
401K Retirement Plan with Company Match, Clean, Neat & Newly Renovated Facility, Close to thruway entrances/exits, Conveniently located on a bus route, Enjoy a fun and diverse work environment, Enjoy being a part of a strong and diverse team, Free On-Site Parking, Generous PTO & holiday package, Life Insurance, Medical, Dental, and Vision insurance, Point-earning employee reward program: redeem for prizes!, Relaxing employee lounge with free iced/hot coffee, Strong leadership, Substantial employee referral program
WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
Requisition ID: 2021-16729
Shift: Mon-Fri, 9am-5pm
Street: 500 Seneca St