Medical Insurance Call Center Representative [Full Time]

Medical Insurance Call Center Representative | Member and Provider Services Representative

Clearwater, FL

Very competitive pay / compensation package

Monthly metric based bonuses!

No selling, no weekends

Monday - Friday, Day Shift

Paid Training, Health, Dental, Vision, and Life Insurance as well as Paid Time Off and Paid Holidays!

This is a fun, challenging, and motivating work environment with a career path and opportunities for growth!

Benefits : Join us and enjoy a robust benefits package designed to support your well-being! (Some plans vary by state.) Full Time employees can enjoy :

• Health Coverage : Two flexible medical plans.
• Dental & Vision : Comprehensive coverage by Sun Life. Vision is company paid.
• Health Savings Account (HSA) : Pre-tax contributions.
• Flexible Spending Accounts (FSA) : Medical and Dependent Care options.
• Life & Disability Insurance : Company-paid, with optional additional coverage.
• Generous Paid Time Off (PTO), plus additional paid holidays.
• Employee Assistance Program (EAP) : Wellness support.
• 401k Retirement Plan : Participate and receive a company match after meeting eligibility requirements.
• Frequent and ongoing employee appreciation and celebration throughout the company.

Summary :

Premier Administrative Solutions (PAS) is a Third-Party Administrator (TPA) that provides a wide range of administrative services to insurance companies, sharing organizations, insurance marketing organizations, and employers. One such service is Member and Provider Services, where inbound and outbound calls and correspondence from members or covered individuals and their providers are managed. This service is provided subject to service level agreements which mandate a high level of service, including telephone service, accuracy, call resolution, and satisfaction. The Member and Provider Service Representative (MPSR) is critical to PAS' success, effectively and efficiently handling calls and correspondence. To best serve its clients and their members, PAS' Member and Provider Service Department is organized into Teams, each serving a specific client and / or product they offer. Each Team is managed by a Supervisor, responsible for delivering service excellence and provided the tools to do so. The number of MPSRs assigned to a team will vary based on the size of the client and the volume of calls and correspondence related to the client.

Responsibilities

Essential Duties and Responsibilities :

Primary Performance Expectations :

Performance review for each MPS Representative is ongoing, with formalized reviews quarterly. The results of the quarterly reviews will determine increases in responsibility, compensation, and incentive compensation. Performance expectations or goals are as follows :

Qualifications

Experience and / or Education :

Environmental Factors / Physical Demands :

Work is performed in an office environment. While performing the duties of this job, the employee is regularly required to have the ability to maintain active customer and employee communication; access, input and retrieve information from the computer system; enter alpha-numeric data into a computerized system often while listening on the telephone. May be subject to repetitive motion such as typing, data entry and vision to monitor. May be subject to bending, reaching, kneeling, stooping, and lifting up to thirty (30) pounds.

HIPAA and Data Privacy Obligations :

This role has direct access to Protected Health Information (PHI). The following rules are non-negotiable :

Other Responsibilities :

This job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee. Duties, responsibilities, and activities may change at any time with or without notice.