Member Services Representative
Full Time
Glen Mills, PA
Posted
Job description
Location:
Maris Grove by Erickson Senior Living
Maris Grove is a beautiful 87-acre continuing care retirement community located in Glen Mills, Pennsylvania. We’re part of a growing network of communities developed and managed by Erickson Senior Living, a national provider of senior living and health care with campuses in 11 states—and growing.
The Member Services Representative supports the Erickson Advantage Plan as a member service liaison and assists care coordination inclusive of: telephone triage, referral service arrangement, risk assessment and scoring, production of reports, authorizing services for members, assisting and facilitating as needed to meet the health care and wellness needs of the Erickson Advantage Plan members. The Member Services Representative serves as a resource for members who require assistance with administrative issues related to their Plan membership including facilitating resolution of claims, premium billing and enrollment issues in collaboration with Evercare/United Healthcare partners.
How you will make an impact:
- Manage inbound calls and walk-in contacts with members, responsible parties and providers/vendors for the Erickson Advantage Member Services and Care Coordination Office at the Erickson community, and documents all contacts in the Touch paper Call Tracking System and Canopy Clinical System as appropriate
- Act as a primary resource to health plan members in problem resolution collaborating with the United Healthcare Service Center and other Evercare/United points-of-contact
- Arrange for order/delivery of medical equipment, supplies, and services as requested by the Community Care Coordinator or the Primary Care Physician.
- Manage the new Member Welcome Process by performing initial enrollment contact with new health plan members, reviewing the benefit package, scheduling home visits to address issues not manageable by telephone, and managing assessment survey process.
- Serve as a resource for Erickson Living staff about Erickson Advantage benefits and operations through participating in community-wide and departmental meetings, and establishing/maintaining positive working relationships with key members of the community team; Medical Center, Resident Life, Community Transportation, Wellness Center, etc.
- Manage distribution of predefined health plan material including mailing, follow up, and data entry of results as appropriate.
What we offer:
Compensation: Commensurate with experience starting at $46000.00 per year
- A "career for life" approach to professional and personal development for our greatest asset, our employees.
- A culture of diversity and inclusion, which builds on our values, vision and mission.
- Onsite wellness visits and sick care available for all employees over 18 years of age
- Tuition reimbursement, certification reimbursement and student loan refinancing partnership programs are available.
- Exceptional medical, dental, vision, 401K and concierge employee health and wellness programs.
- PTO and volunteer hours
What you will need:
- Previous experience in healthcare or insurance environment required; 4-6 years experience required..
- Customer service experience required – 1-3 years.
- AA (Associates of Arts) or related degree required.
Erickson Senior Living, its affiliates, and managed communities are Equal Opportunity Employers and are committed to providing a workplace free of unlawful discrimination and harassment on the basis of race, color, religion, sex, age, national origin, marital status, veteran status, mental or physical disability, sexual orientation, gender identity or expression, genetic information or any other category protected by federal, state or local law.
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