Member Services Call Center - Denver, CO

3052979

Job#: 3052979

Job Description:

Member Services Call Center - Denver, CO Location: Denver, Colorado (Partial Remote)

Role Overview This role is responsible for increasing customer satisfaction and retention by providing members, customers, patients, and providers with accurate, consistent, and timely information. The position involves supporting member inquiries and issues, building rapport, and maintaining collaborative relationships with current and prospective members in accordance with compliance guidelines. This role requires an assessment to move to the next step.

Key Responsibilities

• Represent the health plan by answering and documenting all incoming contacts to determine their nature and respond to complex calls related to specialized product lines or queues.
• Respond professionally to inquiries from internal and external customers, promoting and providing customer service consistent with the organization’s philosophy.
• Initiate contact with appropriate health plan, medical group, and facility personnel to obtain relevant information for concerns or inquiries.
• Evaluate data to determine and implement the appropriate course of action to resolve complaints and coordinate service recovery.
• Document conversations with members according to procedure and follow established procedures to meet their needs.
• Interact effectively with diverse work units and relevant organizational departments.
• Apply a substantial understanding of assigned skills, knowledge, policies, and processes to complete a wide range of tasks.
• Complete required training and understand how to use available tools to recall necessary information.
• Consistently support compliance by maintaining the privacy and confidentiality of information and protecting the assets of the organization.

Required Qualifications Education: High School Diploma or GED is required. Experience: 1+ year of inbound call center experience is highly preferred. Technical Skills: Proficiency in Microsoft Word is required.

Preferred Qualifications

• Healthcare industry experience is highly preferred.

Everforth Apex is a world-class IT services company that serves thousands of clients across the globe. When you join Everforth Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our commitment to excellence is reflected in many awards, including ClearlyRateds Best of Staffing® in Talent Satisfaction in the United States and Great Place to Work® in the United Kingdom and Mexico. Everforth Apex uses a virtual recruiter as part of the application process. Click here for more details. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Everforth Apex and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy at https://www.apexsystems.com/privacy-policy Everforth Apex Benefits Overview: Everforth Apex offers a range of supplemental benefits, including medical, dental, vision, life, disability, and other insurance plans that offer an optional layer of financial protection. We offer an ESPP (employee stock purchase program) and a 401K program which allows you to contribute typically within 30 days of starting, with a company match after 12 months of tenure. Everforth Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts. In terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Everforth Apex has a dedicated customer service team for our Consultants that can address questions around benefits and other resources, as well as a certified Career Coach. You can access a full list of our benefits, programs, support teams and resources within our ‘Welcome Packet’ as well, which an Everforth Apex team member can provide. Everforth Apex Systems is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Everforth Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law. UnitedHealthcare creates and publishes the Transparency in Coverage Machine-Readable Files on behalf of Everforth Apex Systems. VEVRAA Federal Contractor. We request Priority Protected Veteran & Disabled Referrals for all of our locations within the state.