Member Service Representative II
Akron, Ohio
Employer: Summa Health
Industry: Office & Clerical
Salary: $19.35 per hour
Job type: Full-Time
Member Service Rep II
SummaCare - 1200 E Market St, Akron, OH
Full-Time / 40 Hours / Days
SummaCare is a Summa Health entity that offers health insurance in northern Ohio. As a regional, provider-owned health plan, SummaCare is based in Akron, Ohio, and provides Medicare Advantage, individual and family and commercial insurance plans. SummaCare has one of the highest rated Medicare Advantage plans in the state of Ohio, with a 4.5 out of 5-Star rating for 2024 by the Centers for Medicare and Medicaid Services (CMS). Known for its excellent customer service and personalized attention to members, SummaCare is committed to building lasting relationships. Employees can expect competitive pay and benefits.
Summary:
Provides exceptional, personalized service to members and other SummaCare customers, and promptly works to answer questions and resolve concerns on multiple lines of business.
Formal Education Required:
-High School Diploma or equivalent
Experience & Training Required:
-2 years performing same or similar responsibilities. Relevant experience includes: Customer service experience in an information management industry, call-center experience, managed care experience.
Other Skills, Competencies and Qualifications:
-Demonstrates intermediate knowledge of Amisys system, Membership, Claims, Authorization and Billing subsystems.
-Communicate effectively with others through written and verbal means.
-Facilitate working in Windows, and with organizing computer based information
-Balance need for decisive, professional demeanor with warm, non-confrontational customer-first attitude. Project empathy, confidence, proper tone, and service-oriented attitude over the telephone.
-Operate standard office machines.
-Provides cross coverage for multiple product lines
-Demonstrates intermediate knowledge of health insurance industry, including governing rules and regulations.
-Organize and manage time in order to complete tasks within designated time frames in fast paced environment.
-Demonstrates intermediate knowledge of and complies with regulatory, departmental, and company policies & procedures.
-Maintains confidentiality of member health information and business information.
k. Flexible: ability to adjust work hours to meet business demands.
Level of Physical Demands:
-Sit for prolonged periods of time.
-Bend, stoop, and stretch.
-Lift up to 20 pounds.
-Manual dexterity to operate computer, phones, and standard office machines.
$19.35/hr - $23.22/hr
The salary range on this job posting/advertising is base salary exclusive of any bonuses or differentials. Many factors, such as years of relevant experience and geographical location are considered when determining the starting rate of pay. We believe in the importance of pay equity and consider internal equity of our current team members when determining offers. Please keep in mind that the range that is listed is the full base salary range. Hiring at the maximum of the range would not be typical.
SummaCare - 1200 E Market St, Akron, OH
Full-Time / 40 Hours / Days
SummaCare is a Summa Health entity that offers health insurance in northern Ohio. As a regional, provider-owned health plan, SummaCare is based in Akron, Ohio, and provides Medicare Advantage, individual and family and commercial insurance plans. SummaCare has one of the highest rated Medicare Advantage plans in the state of Ohio, with a 4.5 out of 5-Star rating for 2024 by the Centers for Medicare and Medicaid Services (CMS). Known for its excellent customer service and personalized attention to members, SummaCare is committed to building lasting relationships. Employees can expect competitive pay and benefits.
Summary:
Provides exceptional, personalized service to members and other SummaCare customers, and promptly works to answer questions and resolve concerns on multiple lines of business.
Formal Education Required:
-High School Diploma or equivalent
Experience & Training Required:
-2 years performing same or similar responsibilities. Relevant experience includes: Customer service experience in an information management industry, call-center experience, managed care experience.
Other Skills, Competencies and Qualifications:
-Demonstrates intermediate knowledge of Amisys system, Membership, Claims, Authorization and Billing subsystems.
-Communicate effectively with others through written and verbal means.
-Facilitate working in Windows, and with organizing computer based information
-Balance need for decisive, professional demeanor with warm, non-confrontational customer-first attitude. Project empathy, confidence, proper tone, and service-oriented attitude over the telephone.
-Operate standard office machines.
-Provides cross coverage for multiple product lines
-Demonstrates intermediate knowledge of health insurance industry, including governing rules and regulations.
-Organize and manage time in order to complete tasks within designated time frames in fast paced environment.
-Demonstrates intermediate knowledge of and complies with regulatory, departmental, and company policies & procedures.
-Maintains confidentiality of member health information and business information.
k. Flexible: ability to adjust work hours to meet business demands.
Level of Physical Demands:
-Sit for prolonged periods of time.
-Bend, stoop, and stretch.
-Lift up to 20 pounds.
-Manual dexterity to operate computer, phones, and standard office machines.
$19.35/hr - $23.22/hr
The salary range on this job posting/advertising is base salary exclusive of any bonuses or differentials. Many factors, such as years of relevant experience and geographical location are considered when determining the starting rate of pay. We believe in the importance of pay equity and consider internal equity of our current team members when determining offers. Please keep in mind that the range that is listed is the full base salary range. Hiring at the maximum of the range would not be typical.
Created: 2024-08-27
Reference: 49715
Country: United States
State: Ohio
City: Akron
ZIP: 44306
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