Member Care Specialist
New
P
PrudentRxHealthcare
United States- Remote, EST, CSTFull-TimeEntry
Salary not disclosed
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Job Details
- Experience
- 1 to 2 years
- Required Skills
- SalesforceCustomer serviceData entryCRM
Requirements
- High School Diploma or GED.
- 1 to 2 years of recent Call Center experience in a fast-paced setting.
- Professional, clear, and compassionate phone demeanor and attitude.
- Computer navigation skills, including multiple screens, simultaneous systems use, phone and CRM systems.
- Ability to maintain a high level of confidentiality and remain HIPAA compliant.
- Excellent verbal and written communication skills.
- Must maintain a private workspace with a desk and chair, free from distraction.
- Must have 200/200 Mbps internet connection.
Responsibilities
- Work inbound and outbound member calls, assisting with the enrollment process.
- Act as a subject matter expert to provide members with clear, accurate, and up-to-date information regarding program eligibility, requirements, and other enrollment needs.
- Provide members with tactful and compassionate support throughout the enrollment process while maintaining professionalism.
- Escalate unresolved cases and pending member grievances.
- Utilize the Salesforce CRM database to verify member data to complete enrollment.
- Generate detailed records and notes of inquiries, comments, and interactions via CRM.
- Work assigned queues and/or cases as directed by call center leadership.
- Complete all necessary continued learning and training requirements per department and company need.
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