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Associate, Commercial Services, Care Center Representative

Headquarters Office, Schenectady, New York, United States of America Req #171
Wednesday, July 10, 2019
Be a part of the transformation at MVP Health Care®. MVP Health Care is a nationally-recognized, regional not-for-profit health insurer. We care for more than 700,000 members across New York and Vermont and are powered by the ideas and energy of more than 1,700 employees. We employ talented people with diverse backgrounds and experience to make health insurance more convenient, more supportive, and more personal. The question we ask many times each day is: “how can we help you?”, which speaks to a philosophy that sets us apart as a health insurance company. The customer care staff who work with our members and health care providers make a positive difference in peoples’ lives. If you’re ready to join a thriving, mission-driven company where you can create your own opportunities—it’s time to make a healthy career move to MVP.

Associate, Commercial Services, Care Center Representative
 

Status: Full-time, Exempt: No    


Summary:


Responsible to address member/subscriber/provider inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. Majority of contact is via telephone, with some in-office contact and written correspondence/e-mail as needed. Position handles a variety of insurance types including HMO, POS, PPO, ASO, Indemnity, NY and VT Exchange plans, Medicare and Medicaid. Possess the ability to work in a fast-paced environment and deal with the challenges inherent in a call-center atmosphere. Strive to deliver excellent customer service on each call. Responsible for individual accessibility and quality goals, and will directly support additional team goals for industry standard benchmarks such as Average Speed of Answer, and Abandonment Rate. Work closely with all other MVP departments, especially Operations, Utilization Management and Professional Relations. Effective and positive interpersonal skills are necessary to deliver exceptional customer service with a goal to resolve all inquiries on the initial call from the customer. Performs other duties as assigned.


 


POSITION QUALIFICATIONS


Minimum Education: High School diploma or equivalent when possesses customer service employment experience. Post high school education (Associates degree, college courses) preferred


 


Minimum Experience: Successful customer service experience and relevant office experience Experience in positions where adherence to strict confidentiality is required Healthcare, health insurance experience preferred Call Center experience preferred


 


Required Skills:


•Strong problem solving skills accompanied by effective written and verbal communication skills


•Demonstrated excellent customer service skills including superior accountability and follow through


•Demonstrated PC skills using Microsoft applications


 


Preferred Skills:


•Bilingual (Spanish speaking) preferred


•Excellent telephone/communication skills


•Familiarity with healthcare benefits and/or medical terminology


•Strong PC skills
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MVP Health Care is an Affirmative Action/Equal Opportunity Employer (PDF). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, genetic information, veteran status, or any other basis, e.g., Pay Transparency (PDF), protected by applicable federal, state or local law. Any person with a disability needing special accommodations to the application process, please contact Human Resources at hr@mvphealthcare.com.

Other details

  • Job Family Customer Service
  • Pay Type Hourly
  • Headquarters Office, Schenectady, New York, United States of America