Associate, Medicaid- Member Service Representative

Associate, Medicaid- Member Service Representative Headquarters Office, 625 State Street, Schenectady, New York, United States of America • Rochester Office, 20 S. Clinton Ave, Rochester, New York, United States of America • Tarrytown Office, 303 South Broadway, Tarrytown, New York, United States of America Req #2338 Friday, January 31, 2025 At MVP Health Care, were on a mission to create a healthier future for everyone - which requires innovative thinking and continuous improvement. To achieve this, were looking for an Associate, Medicaid- Member Service Representative to join #TeamMVP. This is the opportunity for you if you have a passion for healthcare, customer service, and compliance. Whats in it for you: Growth opportunities to uplevel your career A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team Competitive compensation and comprehensive benefits focused on well-being An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work for and one of the Best Companies to Work For in New York Qualifications youll bring: High School diploma or equivalent when possesses customer service employment experience. Minimum 1 - 3 years customer service experience and/or relevant office experience required. Must be available to work Monday - Friday from 9:30am- 6:00pm. Strong problem-solving ability with effective oral and written communication skills. Have strong interpersonal skills and exhibit good judgment. Demonstrated excellent customer service skills including superior accountability and follow through. Demonstrated PC skills using Microsoft applications. Curiosity to foster innovation and pave the way for growth Humility to play as a team Commitment to being the difference for our customers in every interaction Your key responsibilities: The Associate, Medicaid Member Service Representative is responsible for providing optimum customer service as required to maintain existing member relationships and prevent cancellations. Addresses member, internal and external customer inquiries, questions and concerns in areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care across a variety of insurance types. Meet individual accessibility and quality goals, and team goals for industry standard benchmarks such as Average Speed of Answer, and Abandonment Rate. Responds promptly, accurately, and effectively to all calls in a polite and professional manner. Responds to all calls timely and have a clear understanding of call avoidance, such as but not limited to short calls, intentional disconnects, inappropriate transfers and inappropriate use of hold button. Performs data input in a highly accurate and timely manner on all customer contacts. Simultaneously accesses multiple databases while addressing customers needs. Clearly explains all policies and procedures on both incoming and out-going calls. On an ongoing basis, educates members about their benefits and MVPs procedures. Delivers information in a clear and confident manner. Develops a comprehensive understanding of all lines of business. Has the technical skills required to be able to perform task efficiently. Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer. Where youll be: Location: Virtual. Please note all candidates must be located in New York State within a 40- mile radius from the Schenectady, NY; Rochester, NY; Tarrytown, NY Pay Transparency MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role. We do not request current or historical salary information from candidates. MVPs Inclusion Statement At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration. MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications. To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at hr@ . Other details Job Family Customer Service Pay Type Hourly Min Hiring Rate $20.00 Max Hiring Rate $28.80

Created: 2025-02-03