Sr. Member Services Rep

RESPONSIBILITIES: • Interact with health plan members through outbound and inbound telephonic contact to review and assess health plan member’s eligibility for services. • Achieve individual growth and production goals. • Contribute to the department’s success by succeeding at departmental and quality metrics. • Review correspondences and/or inquiries from the health plan members to determine needs and fast track highly qualified cases. • Acknowledge, follow-up, and close out correspondence and/or inquiries as assigned. • Stay informed with current knowledge of state and federal regulatory requirements. • Comply with all company and department operational guidelines and policies. • Participate in Altegra Health staff and operational development programs as assigned. • Must have a High School diploma or GED and some college coursework. Associates degree preferred with a focus in Health Care Administrative, Business, Finance, or a related field from an accredited college or university. Verifiable experience which demonstrates the ability to perform the functions of the position. • Must have 5 to 8 years of professional call center experience. • Ability to work independently • Demonstrates patience and empathy. • Business demeanor and skills with the ability to communicate effectively (verbal, written and listening skills). • Ability to successfully market, sell, and promote company services in an outbound call center (production driven) environment. • Professional behavior with courteous, polite and energetic qualities. • High commitment to accuracy, high quality work, and detail-oriented. • Must be driven and motivated to exceed individual and team goals. • Able to learn and adapt to changing environments, applications and software. • Experience with the health care industry. Prefer general knowledge of Medicare, Medicaid, and Managed Care. • Knowledge of MS Word, Excel and PowerPoint. • Bilingual is a plus (English/Spanish). MUST BE ABLE TO WORK M-F 9-6pm We are located in Miami Lakes, FL now but in November we are moving to Weston, FL .