• Answers Member/Provider telephone inquiries via Genesys phone system.• Always maintains professional and courteous telephone etiquette, based on core values.• Provides status on claims, prior authorizations, and eligibility to Members and Providers.• Facilitate phone conversations with the Member and/or Provider.• Assist Members with but not limited to (benefits, and documenting Grievance and/or appeals).• Follow up on resolution of inquiries and communicating to all parties involved, in a timely and professional manner.• Assists and supports other Member Services Department staff, as needed.• Maintains and keeps in total confidentiality all files, documents, and records that pertain to the operation of business of the Health Plan.• All other job-related duties relate to the job function or as delegated by the management team.