Member Service Representative

Facility: CoxHealth South: 3801 S National Ave, Springfield, Missouri, United States of America, 65807




 Department: 1752 CHP Member Services Scheduled Weekly Hours: 40 Hours: 8am-5pm Work Shift: Day Shift (United States of America) CoxHealth is a leading healthcare system serving 25 counties across southwest Missouri and northern Arkansas. The organization includes six hospitals, 5 ERs, and over 80 clinics. CoxHealth has earned the following honors for workplace excellence:

Benefits

Job Description: The Member Service Representative (MSR) will support multiple lines of business for benefit interpretation, claims, authorizations and membership inquiries. The MSR’s primary focus is to answer phone, or email inquiries from providers, members, customers or brokers regarding questions of coverage, claim status, benefit interpretation, billing and/or authorizations. This individual will be proficient in multiple lines of business, for example Medicare, group, and Individual Marketplace, translating health care related terminology into effective verbal or written communication for the end user to comprehend. In addition to addressing the caller professionally and properly, the MSR will need to document details of the interaction within the database, including any additional action steps taken as follow up.Education: ▪ Required: High School Diploma or Equivalent Experience: • Experience working in a customer service focused industry strongly desired. • Health Care/Insurance environment preferred. • Experience working in a call center preferred. Skills: ▪ Excellent verbal and written communication skills. ▪ Able to work independently and collaboratively in teams. ▪ Self starter. Licensure/Certification/Registration: ▪ N/A