UHSM Health Share · 3 weeks ago
Call Center Member Service Representative
Orange, CA
Full-time
Onsite
Entry Level
1+ years expUnite Health Share Ministries (UHSM) is a nonprofit health sharing ministry that connects members to administer medical cost sharing. The Member Services Representative plays a crucial role in ensuring customer satisfaction by addressing member inquiries and resolving issues efficiently.
Health CareMedicalNon Profit
Responsibilities
Answering phones from members professionally and responding to member inquiries and complaints
Handle escalated calls, resolving more complex member issues in (First Call Resolution - FCR)
Demonstrate outstanding service to identify the source of the issue and work to resolve member inquiries and issues in a timely and professional manner, related to benefits, eligibility and claims, financial spending accounts and correspondence
Research complex issues across multiple databases and work with support resources to resolve customer issues and/or partner with others to resolve escalated issues
Responsible for knowing all aspects of health program benefits including medical and pharmacy
Required to be at workstation to answer calls in an ACD environment, subject to the monitoring of incoming and outgoing ACD calls for quality assurance during those time periods that the CSA is not scheduled for a break or lunch breaks
Identifying, escalating priority issues, and reporting to high-level management. Responsible for taking issues on a weekly basis to the dept. manager
Obtaining and evaluating all relevant data to handle complaints and inquiries
Handling outbound and inbound calls from external and internal customers
Completing call reports, logs, and researching billing issues
Recognizing, documenting, and informing the supervisor regarding the trends in internal and external customer calls
Qualification
Required
High School Diploma/GED (or higher)
1+ year of Call/Contact Center experience
1+ year of Customer Service experience analyzing and solving customer problems
Preferred
Healthcare or Insurance Call/Contact Center experience
Ability to create, modify and send documents, spreadsheets, and emails in Microsoft Excel, Word, and Outlook
Demonstrated ability to quickly build rapport and respond to customers in a compassionate manner by identifying and exceeding customer expectations (responding in respectful, timely manners, consistently meeting commitments)
Demonstrated ability to listen skillfully, collect relevant information, determine immediate requests, and identify the current and future needs of the member
A proficient problem-solving approach to quickly assess the current state and formulate recommendations
Proficient in translating healthcare-related jargon and complex processes into simple, step-by-step instructions customers can understand and act upon
Flexibility to customize the approach to meet all types of member communication styles and personalities
Proficient conflict management skills include the ability to resolve issues in a stressful situation and demonstrating personal resilience
Ability to work regularly scheduled shifts within our hours of operation including the training period where lunches and breaks are scheduled, with the flexibility to adjust daily schedule, and work over-time and/or weekends, as needed
All new hires will be required to successfully complete the Customer Service training classes and demonstrate proficiency of the material
Ability to work within a team and collaborative environment
Ability to multi-task including the ability to understand multiple products and multiple levels of benefits within each product
Demonstrated ability in customer service problem resolution and relationship building
Being able to address high-level concerns and satisfy them using scripting
Familiarity with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
Able to work overtime evenings, weekends and holidays as needed based on the needs of the business
Benefits
Health, Dental, Vision, and 403(b) with company match
Company
UHSM Health Share
Welcome to UHSM (Unite Health Share Ministries™) - Your Path to Holistic Wellness. At UHSM, we're on a mission to bring wellness within reach.
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase