Member Services Rep

Overview

The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health's Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving quality of care and levels of service. Dignity Health MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local human resources that put patient care first.Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options including medical dental and vision plans for the employee and their dependents Health Spending Account (HSA) Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.

Responsibilities

The Member Services Representative is responsible for answering incoming telephone calls from health plan members employers providers and health plans. Assesses purpose of call and provides appropriate information to callers including calls of a complex nature.

Qualifications

Minimum Qualifications:

• High school diploma or GED required.
• One or more years working in a health care or other related business environment performing general office duties.
• Successful completion of a vocational/technical/business program in a related field of study such as Health Insurance Specialist Medical Assistant Medical Billing or Medical Office Assistant may be considered in lieu of work experience.
  
• Strong problem-solving skills to accurately assess and resolve a variety of complex caller issues.
  
• One or more years working in a health care or other related business environment performing general office duties.
  
• Knowledge of principles and processes for providing excellent customer service.
  

Preferred Qualifications:

• Experience working in a managed care environment preferred.