Irving, Texas, United States of America
1 day ago
PRN Member Support Representative

About Crossover Health

Crossover Health is creating the future of health as it should be. A national, team-based medical group with a focus on wellbeing and prevention that extends beyond traditional sick care, the company delivers an entirely new model of healthcare—Primary Health—built on the foundation of trusted relationships, an interdisciplinary care team approach, and outcomes-based payment. Crossover’s Primary Health model integrates primary care, physical medicine, mental health, health coaching, care navigation and more, and delivers care in surround-sound—in-person, virtually and via asynchronous messaging. Together we are building a community of members that embraces healthcare as a proactive part of their lifestyle.

Job Summary
 

The Member Support Center (MSC) Representative role is at the forefront of providing an exceptional member customer service experience. As an important member of our Member Support Center team, the MSC Representative assists members with first call resolution and demonstrates an in-depth knowledge of the client specific workflows and procedures in correlation with the Crossover standards. The MSC Representative role facilitates the member’s experience throughout their interactions with Crossover Health by providing excellent customer service support over the phone.

Job Responsibilities

Process inbound and outbound calls with the highest level of professionalism

Demonstrates a commitment to quality, delivering uncompromised customer service

Works directly with members, assisting them with scheduling appointments, answering questions, navigating urgent requests or needs, and connecting members with their clinical care team

Familiar and comfortable with navigating Electronic Medical Records (EMR) platforms, spreadsheet reporting, and instant messaging platforms

Familiar with Call Center Softphone systems and set up

Execute reflective listening skills to confirm members appointments

Responds to voicemails in a timely manner and processes according to members request

Achieve Member Support Center PG’s and KPI’s (i.e. Answering calls within 30 seconds 80% of the time, abandoned rates 8% or less, achieves overall call audit rating by 80%, call wait times are 30 seconds or less)

Maintains the correct Dashboard status appropriations

Engage in building cross-functional relationships with other clinical teams and departments

Assists with assigned projects and special provider or patient requests. 

Become familiar and an expert as it relates to benefit eligibility, employer-sponsored health plans, including copays, co-insurance, and related benefit specific requirements and services 

Collaborates with the team and other clinical staff throughout Crossover to deliver an exceptional member experience and identify areas for improvement

Knowledge of HIPAA regulations, Code Orange and incident reporting, and managing the release of Protected Health Information

Performs other duties as assigned

Required Qualifications 

Excellent Phone Etiquette 

3 years of experience working in a call center or customer service environment 

Experience with multitasking, issue resolution, and conflict management

Proficient  computer skills and familiarity with Apple products (Mac), ChromeOS, or client-branded Windows products such as Microsoft or HP. 

Must be able to work in office during assigned shifts, including working a hybrid schedule if assigned

Preferred Qualifications

Excellent interpersonal skills and the ability to work effectively in a highly collaborative call center environment

Proven organizational skills

High level of ownership, accountability, and initiative 

Experience in a health care service delivery environment

Physical Job Requirements

Requires sitting and standing for prolonged periods of time

Occasionally required to lift and carry items weighing up to 50 lbs

Manual and finger dexterity and hand-eye coordination

Requires corrected vision, hearing and speech within normal ranges

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Crossover Health is committed to Equal Employment Opportunity regardless of race, color, national origin, gender, sexual orientation, age, religion, veteran status, disability, history of disability or perceived disability. If you need assistance or an accommodation due to a disability, you may email us at careers@crossoverhealth.com.

To all recruitment agencies: We do not accept unsolicited agency resumes and are not responsible for any fees related to unsolicited resumes.

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