LHH seeks an experienced healthcare Member Service Representative in Folsom, CA.

Responsibilities:

• Work onsite with consistent punctuality.

• Answer calls with proper greetings and actively listen to understand client issues.

• Provide clear and accurate information to resolve inquiries, using layman’s terms to ensure understanding.

• Demonstrate empathy and utilize customer service techniques to calm upset callers.

• Handle routine insurance changes, including adding dependents, changing doctors, and updating addresses.

• Research and correctly quote benefits from Summary Plan Documents.

• Investigate claims information as needed.

• Log all call details into the system with proper notation.

• Maintain strict confidentiality and comply with all HIPAA provisions.

• Adapt to call center hours, with start times beginning as early as 6 AM.

• Achieve a target of 80+ calls a day.

• Maintain a high customer satisfaction score, aiming 90%+ positive feedback.

• Adhere to attendance policy

• Resolve customer inquiries efficiently

Knowledge, Skills, & Abilities:

• Excellent written and verbal communication skills.

• Maintain outstanding attendance and punctuality.

• Strong problem-solving abilities and analytical skills.

• Minimum of 4 years of call center experience in healthcare.

• Proficiency in CPT and ICD codes, coinsurance understanding, and benefit quoting.

• Ability to grow with the changing demands of the position and company.

• Skilled in Microsoft Office Suite, including Excel.

• Background in medical/benefits environments, UR/Claims/COBRA/FSA/Eligibility.

Additional Requirements:

• Typing Assessment: Must pass a typing assessment (25 WPM) and a basic computer skills assessment.

Benefits:

• Comprehensive Coverage: Medical, Dental, and Vision Benefits 100% employer-paid for employee coverage, effective the 1st of the month following a 30-day waiting period (employee responsible for dependent premiums).

• Self-insured Plans: EPO/PPO, Dental, and Vision plans.

• Life Insurance: $50K Group Life Insurance, AD&D, LTD plan.

• Support Programs: EAP program.

• Retirement Plan: 401K plan.

• Voluntary Options: Additional Life Insurance (employee, spouse, child), Cancer, Accident, FSA, Pre-paid legal services.

This position is ONSITE

Equal Opportunity Employer/Veterans/Disabled

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/us/en/candidate-privacy

The Company will consider qualified applicants with arrest and conviction records subject to federal contractor requirements and/or security clearance requirements.