Aerotek Member Services Representative job in Boston, MA

Job Title
Member Services Representative
Job Type
Boston, MA 02108

Member Services Representative

We have a full-time opening for a Member Services Representative.

Must be able to work various shifts per week.

    Wage: 18.50/hr

    Additional Info

    Minimum Age
    21+ years old


    • Respond to, and answer all member and provider inquiries in a courteous, responsive, comprehensive, effective, and accurate manner following all departmental and organizational policies and procedures.
    • Participate as part of a team conducting and/or supporting outreach to members regarding benefits and eligibility requirements.
    • Thoroughly document all member related and prospective member interactions into internal database for purpose of accurate tracking and analysis.
    • Coordinate with various roles internally and its interdisciplinary and/or primary care partners to ensure external and internal customer requests and questions are handled appropriately and in a timely manner.
    • Access and understand all related education resource material in order to respond to a member's questions and concerns accurately and appropriately.
    • Provide direct member education about benefits in an ongoing, proactive manner.
    • Process members' grievances and appeals in accordance with companies policies.
    • Process members' disenrollment in accordance with companies policies.
    • Use computerized systems for tracking, information gathering, and troubleshooting.
    • Offer recommendations for improvements in Call Center and procedures to enhance service delivery and customer satisfaction.
    • Provide translation and interpretation when requested/approved by supervisor.
    • Take responsibility for one or more administrative functions or special projects of the Member Services Department.
    • Daily tasks include: ongoing incoming and outgoing phone calls; ongoing incoming and outgoing email; ongoing use of member database and members' electronic medical records; processing paper mail; and processing faxes.
    • Provide other duties as assigned.
    • Knowledge of Massachusetts' health care delivery system/services;
    • Prior experience working in medical setting;
    • Prior experience working in a Call Center;
    • Ability to complete mail merge;
    • Experience using and entering data into electronic medical records.
    • Must have experience working in a diverse environment: colleagues, members and providers are diverse socioeconomically, ethnically, and culturally.
    • Must possess exceptional oral and written communication skills, including the ability to manage difficult callers and conflict.
    • Must be flexible and comfortable working in an environment that includes continual change for quality improvement.
    • Must have the ability to: develop a thorough knowledge of benefits, related payment policies, and medical terminology; work independently as well as within a team environment; prioritize work; and manage and track outstanding work and work due in the future.


    • Bachelors or Associates Degree required
    • Call Center experience
    • Healthcare or Medical setting experience
    • Highly preferred Bilingual in either Spanish, Portuguese, Russian, Vietnamese, Haitian Creole, French Creole or Portuguese Creole

    Start Date: February 13th

    Job Industries

    Apply Now

    Browse similar jobs