Member Services Representative

Bilingual English and Spanish Member Services Representatives (MSR) temp to perm position at one of Yoh’ clients in the East Bay Area, CA.
Work from home with weekly check in onsite. What You Will Be Doing: - Member Services Representatives (MSR) are the first point of contact for our members’ primary contact with the Alliance for both routine and complex member issues with the goal of delivering excellent customer service to our customers.  - The MSR provides courteous, professional, and accurate responses to incoming inquiries regarding network, plan benefits, eligibility, authorizations, plan services and guidelines, as well make decisions with the goal of ensuring member satisfaction and retention. The MSR performs a variety of complex functions and is also responsible for maintaining accurate and complete inquiry/grievance records in the electronic database. - Serve as the primary contact for members, providers and others for questions related to claims, benefits, authorizations, pharmacy, member eligibility and other questions related to Alameda Alliance and provide accurate, satisfactory answers to their inquiries or concerns. - The position is responsible for answering a high volume of inbound and outbound calls in a timely manner. Respond to all communications coming into - Member Services in the form of email, fax, letters, chat and phone calls. - Timely responses to all member communication are essential. - Must effectively prioritize and flex the workload as new communication and tasks are submitted. - Identify the caller’s needs, clarify information, research issues, and provide solutions and/or alternatives whenever possible.

What You Must Bring To The Table: - Must be a team player. - Must be self-motivated and able to work with minimal supervision. - Fluent English and Spanish - Frequent use of telephone and headset. - High school diploma, GED required.     - Minimum one year of direct customer service Call center experience and managed care experience a plus - Experience determining eligibility for financial assistance, insurance benefits, unemployment and/or other social services programs. - Experience in use of various computer systems software as well as Microsoft Windows, and Microsoft Suite, especially Outlook, Word, Excel. - Must have reliable and stable internet connection for remote work 

What’s In It For You? We welcome you to be a part of the largest global staffing companies to meet your career aspirations. Yoh’s network of client companies has been employing professionals like you for over 65 years in the U.S., UK and Canada. Join Yoh’s extensive talent community that will provide you with access to Yoh’s vast network of opportunities. - Medical, Dental & Vision Benefits - 401K Retirement Saving Plan - Life & Disability Insurance - Direct Deposit & weekly EPayroll - Employee Discount Programs - Referral Bonus Programs

Recruiter: Trish Brannan

Note: Any pay ranges displayed are estimations.  Actual pay is determined by an applicant's experience, technical expertise, and other qualifications as listed in the job description.  All qualified applicants are welcome to apply.

Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Visit  https://www.yoh.com/applicants-with-disabilities   to contact us if you are an individual with a disability and require accommodation in the application process.