Member Services Specialist

POSITION SUMMARY

Drives customer loyalty and provides excellent telephonic customer service to our customers (members and providers). This position will work with other departments in order to respond to customer and provider concerns in a timely and effective manner.

COMPLIANCE WITH REGULATIONS:

Works closely with all departments necessary to ensure that the processes, programs and services are accomplished in a timely and efficient manner in accordance with CHG policies and procedures and in compliance with applicable state and federal regulations including CMS and/or Medicare Part D, DHCS and DMHC.

Requirements

RESPONSIBILITIES

• Effectively resolve member concerns through a range of strategic actions.
• Coordinating swift and seamless urgent care access, interpreter services, and transportation arrangements.
• Facilitating smooth transitions for...