Jefferson Health · 12 hours ago
Member Relations Representative - JHP
Philadelphia, PA
Full-time
Onsite
Entry Level
2+ years expJefferson Health is a nationally ranked healthcare system dedicated to providing high-quality clinical care and education. The Member Relations Representative role involves promoting a positive image of Health Partners through telephone interactions, educating callers about the plan, and ensuring member satisfaction.
Hospital & Health Care
Responsibilities
Educate callers about Health Partners’ plan with the intent of retaining members
Provide high levels of service
Report on trends and issues which impact the membership
Collaborate with internal departments to facilitate resolutions to member’s issues and concerns
Respond to member and member-related calls in a courteous, professional & efficient manner providing timely follow-up to requests for information and service
Participate in and conduct new member orientation outreach on a monthly basis as assigned
Answer eligibility, benefits and provider inquiries, assuring that members receive service, use the plan correctly and gain a high level of satisfaction with the plan
Maintain call records, logs and other documentation in accordance with departmental requirements
Operate MIS and telephone systems effectively and efficiently, following established protocols for security, transfer and information exchange
Participate in appropriate staff meetings and training sessions, reporting on trends and issues which impact members and Health Partners as a whole
Attend monthly meetings
Perform other clerical and support tasks as assigned
Qualification
Required
High School Diploma/GED or equivalent
Excellent telephone communication and counseling skills
Ability to work independently and as part of a team
Proficient in Departmental Information Systems including DPW, Member Health Information System and Pharmacy System
Preferred
2 years customer service related experience
Bilingual desirable
Benefits
Medical (including prescription)
Supplemental insurance
Dental
Vision
Life and AD&D insurance
Short- and long-term disability
Flexible spending accounts
Retirement plans
Tuition assistance
Voluntary benefits
Tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service
Access to medical (including prescription) insurance
Company
Jefferson Health
Thomas Jefferson University and Thomas Jefferson University Hospitals are partners in providing excellent clinical and compassionate care for our patients in the Philadelphia region, educating the health professionals of tomorrow in a variety of disciplines and discovering new knowledge that will define the future of clinical care.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
ANTHONY S. NAH, Jr., B.S., MSc.
President / CEO
Ron Kumor
President/ CEO Aria Jefferson Health Physician Services and Senior Vice President, Network Dev
Recent News
Philadelphia Business Journal
2025-03-26
2024-04-29
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