Member Services Representative: Health Right

Health Right, Inc. a health plan dedicated to providing quality health care, disease prevention, health promotion, and case management services for the Medicaid eligible and other vulnerable populations in downtown DC in looking for a Member Services Representative.

The candidate would be responsible for providing information, guidance, interpretation, and education about benefit offerings, claims payment and company policies, procedures, and practices; Provide professional and efficient member service via the telephone, assisting members with general information regarding their accounts, plan policies and services and keep records of member(s) interactions and transactions, recording details of inquiries, complaints, and comments, as well as actions taken.

Qualifications: Minimum - High school education or equivalent along with two years of higher education; Preferred: Associates or Bachelor degree. Must have excellent telephone, time management and data entry skills; demonstrate professionalism and committed to providing excellent customer service; 12 to 18 months working experience in customer services, managed care environment, required. Previous telephone experience in Call Center and/or managed care setting highly preferred; Experience in using Microsoft Office products; Bilingual (Spanish/English), preferred; Medical Terminology highly preferred.

Health Right, Inc. is an Equal Opportunity Employer that believes in growing and promoting a diverse workforce. We offer a competitive compensation and benefits package, designed to help employees meet various needs throughout their careers and lives.

Our benefits include: