Think Beyond The Label Jobs

This job was posted by https://www.vermontjoblink.com : For more information, please see: https://www.vermontjoblink.com/jobs/1164208

Who We Are

Point32Health is a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our communities. At Point32Health, we are building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, where we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.

We enjoy the important work we do every day in service to our members, partners, colleagues and communities. To learn more about who we are at Point32Health, clickhere{target="" _blank\"\"=""}.

Job Summary

TRANSFORMING HEALTHCARE, ONE MEMBER AT A TIME\ \ What we build together changes our customer\'s health for the better. We are looking for talented and innovative people to join our team. Come join us!\ \ WHAT MAKES US STAND OUT Here at Point32Health our member services representatives are the backbone of the company. The value we place on our reps is at the highest level. Our representatives are our brand ambassadors and our members are taken care of everyday, because of this.\ \ WHAT YOULL RECEIVE The experience and organizational knowledge youll gain as a member services representative serves as a flexible foundation for growth across the enterprise. Youll receive paid training, career development and advancement opportunities, and a generous benefits package that includes paid time off, paid volunteer time off (up to 3 days annually), educational reimbursement, a company 401k match, medical benefits and more!\ \ Full Time, Remote Position (residence preference in MA, RI, NH, CT, ME)\ \$19.00/hr. (\$39,520 annually) + quarterly incentives after training\ Class start date: 7/8/2024- 8/30/2024

Key Responsibilities/Duties what you will be doing

WHAT YOULL DOIn this role, you are responsible for providing accurate and thorough interpretation of Point32Health benefits, claims processes, eligibility, and enrollment policies to members, employers, and internal customers. You will seek resolution of complex customer inquiries, the facilitation of problem resolution, and meeting or exceeding customers expectations.

This role is equally challenging and rewarding. Within a high-volume environment, youll need to model and act as an ambassador for the company while solving complex health care inquires and a customer advocate to resolve escalated and complex issues.Undoubtedly the best part is that you\'ll be helping people every single day, while making a positive impact on their life. This role allows you to nurture your desire to help others and earn a living at the same time.

Specific responsibilities

• Managing a high volume of incoming telephone calls from members, prospective members, employers, and internal Point32Health staff.
• Efficiently and effectively processing calls. This includes:
  • Accessing the information and proficiently resolving the concern.
  • Asking probing questions, while educating to reduce repeat calls.
  • Accurately documenting the complete encounter.
  • Investigating complaints and performing front-line analysis and intervention.
  • Making necessary outgoing phone calls to resolve member related inquiries.
• Following assigned schedules to ensure appropriate phone queue coverage.
• Interacting and forming contacts with other Point32Health departments to resolve issues.
• Participating in initiatives and responding to requests for help.
• Engaging in opportunities to mentor new colleagues and assisting with department projects.
• Other ad hoc duties as needed. https://www.eeoc.gov/eeo-policy-statement