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Field Customer Service Representative - Bilingual English/Spanish - Bronx Coverage

Healthfirst – Bronx, NY

The Field Service Agent acts as a liaison between Healthfirst and its customers. The individual is responsible for assisting customers with issues and inquiries they may have about their insurance, applications and or claims not paid. The Field Member Service Representative is also responsible for receiving and addressing member inquiries, resolution of customer complaints, client education, retention of membership and dis-enrollments.

Duties and Responsibilities Include:

  • Interacts with customers in person to provide information in response to inquiries about products and services.
  • Improve overall member experience and reduce waiting time in order to expedite traffic flow
  • Identify, research, and resolve customer issues using appropriate methods and tools.
  • Effectively manage face to face encounters.
  • Register and educate members in the HF Member portal (access online services)
  • Handle and resolve customer complaints.
  • Ability to navigate through information systems to analyze the customers situation.
  • Serves as a liaison between the customer and various departments.
  • Serve as Privacy Ambassador in order to ensure security, integrity and confidentiality of data/protect PHI in CBO
  • CBO Triage on the weekends: Use OnContact and product knowledge to screen walk-ins and identify who is applying, renewing, making payment, inquiring MS, etc.
  • Customer Support: Escalate member concerns to Enrollment & Billing, MS Resolutions
  • Other duties as assigned by the management team.
  • Work flexible schedules, nights, weekends, holidays, and/or overtime with limited notice.
  • Ability to multi-task, prioritize, and manage time effectively.

Minimum Qualifications :

  • High School Diploma or GED equivalent from an accredited institution.
  • Work experience in a face to face or call center environment.
  • Communicate effectively verbally and in writing while demonstrating good grammar, spelling and punctuation skills.
  • Strong active listening skills
  • Must be willing to work a flexible schedule, from Monday thru Saturday with a day off during the week.
  • Must be willing to work throughout community based offices, hospitals, clinics and community events in the Bronx/Manhattan, NYC.
  • Must be fluent in English and Spanish

Preferred Qualifications :

  • Associates Degree from an accredited institution.

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

If you have a disability under the Americans with Disability Act or a similar law, and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to [email protected] or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with Healthfirst Management Services.
EEO Law Poster and Supplement

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