Healthcare Customer Service

Our client is in need of 10 Member Service Representatives. Member Service Representatives will provide accurate timely responses, resolution to inquiries, and informal grievances from members, authorized parties, and other internal/external customers. The customer contact takes place via phone, written correspondence, web, fax, voice mail, or face-to-face contact and is imperative to member retention. Develop familiarity with regulatory guidance and escalate compliance concerns as appropriate.

CONTRACT POSITIONS FROM MARCH 13-JANUARY 2018.


Below are listed some key skills that are required to be successful in our PAC team. Call center experience at this time in any industry is not helpful due to the volume of provider specific claim and benefit language used. Provider contracting and rates of reimbursement are top call trends as well. We don't have the bandwidth to train for six weeks.
1. Health insurance background
2. Familiarity with claims as relates to members or providers
3. Clinic, hospital, or billing experience in any medical type provider office (DME, specialty, HH)
4. Knowledge of coding, Coder certification not required
5. Call center experience so they understand their role is 99% on the phone or billing experience that include high volume of calls
6. Experience with EDI claims submission- Not critical but helpful
7. Excellent trouble shooting skills
8. Excellent decision making skills
9. Excellent computer skills, uses a mouse and types well, no hunting and pecking



Responsibilities include:

-Answer, resolve, track and document telephone calls from members, providers internal departments, and external agencies, in a timely and professional manner, Research, resolve and communicate effectively with internal and external customers regarding member/provider concerns or issues. Educate members and external customers on policies and procedures related to members' health care program.

·Research and resolve inquiries from internal/external customers including: Enrollment, eligibility, ID cards, clinic changes, demographic changes, benefit coverage, claims, payments, member reimbursement, and demonstrated knowledge of CAG policies, procedures, and regulations. Utilize appropriate resources to respond to member inquiries.

·Identify trends/issues that emerge in calls/correspondence, and inform team Lead or Supervisor. Assist in the development and communication of resolutions to internal staff, as requested.

·Demonstrate and maintain a thorough and complete working knowledge of appropriate UCare information management systems, and ACD telephone system.

·Perform and track/document outbound calls as needed

·Maintain good working relationship and open communication with internal and external customers

About Aerotek:

Our people are everything. As a Best of Staffing® Client and Talent leader, Aerotek® Inc. has distinguished itself as a leader in recruiting and staffing services, by having a deep understanding of the intersection of talent and business. As a strategic partner to more than 17,000 clients and 300,000 contract employees every year, Aerotek's people-focused approach yields competitive advantages for its clients and rewarding careers for its contract employees. Headquartered in Hanover, Md., Aerotek operates a network of over 230 non-franchised offices with more than 6,000 internal employees dedicated to serving our customers. Aerotek is an operating company of Allegis Group, a global talent solutions provider. To learn more, visit .

Aerotek is acting as an Employment Agency in relation to this vacancy.