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Company Contact Info

  • Woodbridge Township, NJ 08830
  • Michelle Wilkerson
  • Phone: -303-7967500

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Admin/Clerical

Modis • Woodbridge Township, NJ

Posted 21 days ago

Job Snapshot

Contractor
Degree - None
Other Great Industries
Other
7

Applicants

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Job Description

Responsible for enrollment and member outreach. Must be able to successfully perform all the duties of the Membership Rep I. Primary duties may include, but are not limited to: Responds to incoming calls and may initiate outgoing calls, providing customer service to plan members and providers by answering benefit questions, resolving issues and educating callers. Verifies enrollment status, makes changes to records, researches and resolves enrollment system rejections; addresses a variety of enrollment questions and/or concerns received by phone or mail. Responds to inquiries concerning enrollment processes. Maintains enrollment database. May order identification cards. Assist members determine eligibility for Medicaid. Screens group for benefits to determine if existing or new, recognizing when benefits are not standard and handling as appropriate. Thoroughly documents inquiry outcomes for accurate tracking and analysis. Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner. Requires H.S. graduate or GED, Bachelor’s degree preferred; 1-3 years relevant healthcare customer servicing experience which includes at least 1 year membership experience with the company; or any combination of education and experience, which would provide an equivalent background; and bilingual English/Spanish preferred.
Job ID: US_EN_6_21701_6051813
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