Member Services Representative

MUST HAVE: 2 Years of Healthcare Call Center Environment with experience with claims or healthcare industry If interested email your resume to bcluck@astoncarter.comDescription:Answering Inbound/ Outbound calls from Patients, Providers, Insurance Brokers regarding benefits and coverage. To verify insurance, or coverage for different procedures.Assist members, providers, and brokers with claims-related billing questions and issues as needed. Work with department staff to help resolve member issues to ensure resolution within prescribed timeframes. Accurately record and refer appeals and grievances according to department protocols and procedures. Educate members on the Advantage Referral Program, Western Health Advantage’s website, and online member tools available to them.Additional Skills & Qualifications:High School Diploma. 2 Years of Healthcare Call Center Environment combined with claims or Previous experience working in the health care industry, specifically HMO, is a plus. Basic computer skills, including electronic mail, routine database activity, word processing, spreadsheet, graphics, etc.TESTING REQUIRED-WPM Test (over 40)-Healthcare Benefit Knowledge-Experience with claimsAbout Aston Carter: Please Note: Scammers are posing as Aston Carter. We'll never contact you via Gmail, Telegram, or WhatsApp and we'll never solicit money from you.At Aston Carter, we’re dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range of positions – from recruiting, sales and delivery to corporate roles. As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless.Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. Spanning four continents and more than 200 offices, we extend our clients’ capabilities by seeking solvers and delivering solutions to address today’s workforce challenges. For organizations looking for innovative solutions shaped by critical-thinking professionals, visit AstonCarter.com. Aston Carter is a company within Allegis Group, a global leader in talent solutions.The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call 888-237-6835 or email astoncarteraccommodation@astoncarter.com (%20astoncarteraccommodation@astoncarter.com) for other accommodation options. However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting. The Recruiter is the sole point of contact for questions about this position.