Member Services Supervisor
Lake Mary, Fl
Healthfirst is a not-for-profit managed care organization, sponsored by some of the most prestigious and nationally recognized hospitals and medical centers in New York. Our mission is to provide high-quality health care coverage to individuals and families in our New York service areas through a variety of government-sponsored health insurance programs, including New York State's Child Health Plus, Family Health Plus, Medicaid, and Medicare Advantage.~ Management* Coordinate with senior management and Human Resources for appropriate staffinglevels, training and scheduling.* Analyze all reports quickly and accurately and communicate results to all managementand team members as appropriate. Take needed actions when required.* Prepares, maintains, and submits reports and records, such as Quarterly reports andStaff’s attendance records.* Responsible to meet department productivity and quality goals.* Resolved staff conflicts and customer complaints effectively. * Research member billing/claims/payment and/or refund issues.* Ability to analyze the caller's situation and serve as liaison between HealthFirst, Inc andits members or potential members.* Provided discontent customers with satisfactory options to ensure the continuation oftheir business.* Responded to a high volume of calls and offering customers additional options.* Follow-up on Provider/Member inquiries not immediately resolved;* Responsible to meet department productivity and quality goals. Composed businessletters and provided statistical reports to supervisor.
