Company Name:

Engaggin Solutions LLC

Position Type:

Full-time

Desired Experience:

2 - 0

Salary Range:

10 - 12 Hourly

Employment Opportunity

To be qualified for this position, candidates must be (Bilingual-Spanish) speaking with at least 2 years of customer service skills in a call center environment, preferably in Medicaid managed care or insurance, self-motivation, critical thinking and good judgment needed; must be able to work independently.

Job Description

Position Title:             Member Retention Representative I

Reporting Relationship:            Supervisor of Member Retention

Position Purpose:        

Assist the health plan in educating the members about the managed care services provided via the health plan. 

High school education or equivalent.  At least 2 years of customer service experience in a call center environment, preferably in a Medicaid managed care or insurance environment. 

Team Member:  Integrity, Flexibility, Communication, Critical Thinking, Quality Orientation, Building Customer Loyalty, Building Strategic Working Relationships, Contributing to Team Success

• Receive and respond to all telephone or written correspondence inquiries from members within established timeframes and policies.

• Educate members about plan benefits via telephone and in writing.

• Document in the computer system all members’ issues and resolution.

• Conduct new member welcome calls.

• Utilize current reference materials to assist and resolve any member inquiries.

• May coordinate member transportation.

• Promote preventive care visits to Members.

• Identify potential “high-risk” members for appropriate referral.

• Meet department expectations & call quota set by Management.