Member Services Rep/Advocate III

About the role

We offer a full-time position as an Altegra Member Services/Sr. Customer Service Rep at our Weston, Florida corporate center. The position reports to the Advocate Supervisor in the Member Services division. Our Sr. Customer Service Reps are professionals who interact with health plan members through outbound and inbound telephonic contact to complete various intake services.

Responsibilities

• Interact with health plan members through outbound and inbound telephonic contact to review and assess health plan member's eligibility for services.
• Achieve individual growth and production goals.
• Contribute to the department's success by succeeding at departmental and quality metrics.
• Review correspondences and/or inquiries from the health plan members to determine needs and fast track highly qualified cases.
• Acknowledge, follow-up, and close out correspondence and/or inquiries as assigned.
• Stay informed with current knowledge of state and federal regulatory requirements.
• Comply with all company and department operational guidelines and policies.
• Participate in Altegra Health staff and operational development programs as assigned.

Qualifications

• Must have a High School diploma or GED and some college coursework. Associates degree preferred with a focus in Health Care Administrative, Business, Finance, or a related field from an accredited college or university. Verifiable experience which demonstrates the ability to perform the functions of the position.
• Must have 4 - 6 years of professional call center experience.
• Ability to work independently.
• Demonstrates patience and empathy.
• Business demeanor and skills with the ability to communicate effectively (verbal, written and listening skills).
• Ability to successfully market, sell, and promote company services in an outbound call center (production driven) environment.
• Professional behavior with courteous, polite and energetic qualities.
• High commitment to accuracy, high quality work, and detail-oriented.
• Must be driven and motivated to exceed individual and team goals.
• Able to learn and adapt to changing environments, applications and software.
• Experience with the health care industry. Prefer general knowledge of Medicare, Medicaid, and Managed Care.
• Knowledge of MS Word, Excel and PowerPoint.
• Bilingual is a plus (English/Spanish).

MUST BE ABLE TO WORK M-F 11am - 8pm or 2pm - 11pm.

Additional Information

All your information will be kept confidential according to EEO guidelines.