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Member Services Associate

Fidelis Care

Member Services Associate

Buffalo, NY
Full Time
Paid
  • Responsibilities

    Member Services Associate Fidelis Care 242 reviews - Buffalo, NY Position: Member Services Associate Description: As a mission-driven health plan serving all 62 counties of New York State, Fidelis Care provides quality, affordable health insurance coverage for children and adults of all ages and at all stages of life. Central to our mission is our commitment to be a health care partner, working closely with our members and providers to ensure that everyone receives the care they need, when they need it. From the beginning, Fidelis Care has worked to be part of the social fabric of local communities, impacting peoples lives with one of the most basic human rights access to quality health care and services, close to home. Position Summary Acts as a liaison between members and Fidelis Care New York in a fast pace, high volume call center. You will perform various customer service tasks including providing information on Fidelis Care products and services, problem solving and updating member information with a focus on quality and enhancing the member experience. Essential Functions and Responsibilities Responsibilities * Answering product and/or service related questions while maintaining appropriate call center etiquette; suggesting features and benefits about company products and services to educate current and potential members; completing all inquiries via various forms of customer contact in a quality manner. * Tracking, filing, and entering all technical documentation to ensure all member accounts correctly reflect the activity that was performed; simultaneously listening and accurately capturing information and the interaction with the member in our system; completing all necessary paperwork, documentation, member requests and inquiries. * Taking member complaints; probing and researching information being provided; following-up with members when appropriate; attempting to resolve difficult situations to ensure member satisfaction; identifying trends that negatively impact member satisfaction and make recommendations to your Supervisor. Educational and Experience Requirements Work Related Experience: * One or more years of customer service experience required.

    • One to three years of healthcare and/or call center experience preferred. * Associate Degree or equivalent preferred. * Bilingual in Spanish, Russian, Mandarin or Cantonese is a plus. * Available to work 1 weekend per month. * Experience working in a call center environment is preferred. * The ability to work well as a member of a team or alone. * Basic computer skills required including typing, data entry, navigating database and the use of Microsoft Word, Excel, Lotus Notes. * Working knowledge of Managed Care/Health Insurance concepts and regulations is preferred. * Skilled to work in a fast paced environment. Must have the ability to problem solving in a high pressure environment. Education, License, and Certification Requirements * High School Diploma/GED required. * AA/AS - Associates Degree preferred. To learn more about our Mission and growing company, please visit www.fideliscare.org Time Type: Full time Location: Buffalo Regional Office 19 hours ago - save job - original job Apply On Company Site Other jobs you may like West Side Community Services - ABLE Member The Service Collaborative of WNY, Inc.
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    • Jobs at Fidelis Care in Buffalo, NY * Member Service Associate salaries in Buffalo, NY Fidelis Care Fidelis Care 242 reviews From humble beginnings in a 14-zip code area of Brooklyn in 1993, to presence in all 62 counties of New York State today, Fidelis Care's... Let employers find you Thousands of employers search for candidates on Indeed Upload Your Resume
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