Provider Services Representative

Overview

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.

The MJHS Difference

At MJHS, we are more than a workplace; we are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. We foster collaboration, celebrate achievements, and promote fairness for all. Our contributions are recognized with comprehensive compensation and benefits, career development, and the opportunity for a healthy work-life balance, advancement within our organization and the fulfillment of having a lasting impact on the communities we serve.

Benefits include:

• Tuition Reimbursement for all full and part-time staff
• Generous paid time off, including your birthday!
• Affordable and comprehensive medical, dental and vision coverage for employee and family members
• Two retirement plans! 403(b) AND Employer Paid Pension
• Flexible spending
• And MORE!

MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)

Responsibilities

You will:

• Manage high volume incoming calls, and emails
• Problem solve and research solutions for the caller
• Log all calls into computer with details of the call
• Work within multiple systems with dual screen monitors
• Maintain a professional dialogue while handling difficult situations with callers

Qualifications

• High School Diploma or equivalent
• 3-4 years of experience in customer service in a healthcare environment
• Prior experience in one or more of the following: Medicare, Medicaid, health insurance, geriatric population and or utilization/care management process is preferred.
• Bilingual (Russian, Spanish, and Chinese) a plus

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