Member Services Rep I
Requisition #: 191833
Location: Johns Hopkins Health Care, Glen Burnie, MD 21060
Category: Clerical and Administrative Support
Work Shift: Day Shift
Work Week: Full Time (40 hours)
Weekend Work Required: No
Date Posted: Oct. 16, 2019
Johns Hopkins employs more than 20,000 people annually across our health system. Upon joining Johns Hopkins, you become part of a diverse organization dedicated to its patients, their families, and the community we serve, as well as to our employees. Career opportunities are available in academic and community hospital settings, home care services, physician practices, international affiliate locations and in the health insurance industry. If you share in our vision, mission and values and also have exceptional customer service and technical skills, we invite you to join an employer that is a leader and innovator in the healthcare field.
Provide support for Priority Partners growth, compliance, member education, and retention efforts, reporting to the Member Services Supervisor. Responds to telephone, email, and mail inquiries from members and potential members, and is focused on supporting members in obtaining medical treatment and preventative health care services. Outreaches new members to provide education and full understanding of benefits, supplement existing member data, and obtain information pertaining to medical/social issues that need immediate and/or focused intervention. Refers members to care management, health education, special needs, and/or quality improvement departments as appropriate, Arranges transportation as needed. Has responsibility for all fulfillment efforts triggered through advertising and marketing campaigns. Assists members in redetermination efforts. Tracks and documents all interactions.
Requires High School diploma or equivalent. Associates degree related to advocacy, health care, or community relations preferred. Requires a minimum of one year experience in social, community, managed care, health care or medical office related field. Bilingual Spanish Speaking skills preferred.
Requires basic knowledge of social and health issues to effectively determine appropriate educational and service support. Requires familiarity with the personal experiences of families with low/moderate income. Requires a working knowledge of local, state, and federal family support resources. Familiarity with medical terminology, ICD-9/10 and CPT codes beneficial. Knowledge of DHMH eligibility and redetermination requirements. Requires experience engaging and working with community stakeholders. Requires experience as an advocate for groups or persons that are underserved. Requires excellent interpersonal and communication skills to effectively deal with diverse groups of community members. Requires strong problem solving skills to effectively assess social/health needs of members and arrange for appropriate services required to meet those needs. Requires basic level of customer service responsiveness with telephonic experience. Requires excellent organizational skills, flexibility, and the ability to get things done. Must be compassionate and sensitive to diverse situations. Must be able to enter data into a computer.
Johns Hopkins Health System and its affiliates are Equal Opportunity/Affirmative Action employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identity,sex, age, national origin, disability, protected veteran status, and or any other status protected by federal, state, or local law.
Johns Hopkins Medicine.