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Customer Service Representative (BOS Airport)
CLEAR
location-iconBoston MA

HIRING IMMEDIATELY- $1,000 sign on bonusUncapped commissionUncapped monthly commission. Top sellers have earned upwards of $5,500 per month. Commission amounts are based on personal sales and are paid out monthly.Competitive hourly base rate of $16.25 / hourCLEAR Sales Representatives work at the airport to securely verify current members and enroll new prospective members. Check out a day in the life at CLEAR here: https://tinyurl.com/rmsep534At CLEAR, we love what we do and we're obsessed with our members! Our Sales Representatives make magic happen every day, creating frictionless experiences.Perks of Being a Team Member at CLEAR!Uncapped commissionCompetitive hourly rate of $16.25 / hour15 days Paid Time Off for Full Time Team Members, increasing with time in service11 Company Paid Holidays (1.5x pay if worked!)Comprehensive Medical, Dental, Vision, Pet, Home, Auto, Disability, Life Insurance and Legal advice for eligible team membersCommuter Benefits & Parking subsidyFree Uniform + shoesBackup childcare and elder care through Care.comPaid Parental, Family, Military & Bereavement Leave Program for eligible team membersEmotional Well Being Assistance401k Retirement Plan with company matchOngoing training & development programs to grow & advance your career with a growing company!Free CLEAR memberships for you and one other. Plus a discounted membership for three friends!What is a CLEAR Sales Representative?What you will do - Security, Service and Sales as a Brand Ambassador for CLEARConsistently demonstrate adherence to security procedures by validating airline documents, verifying CLEAR member traveler identification and following documented security protocolsExceptional customer-service-focused communication skills and the ability to engage with potential customers, general travelers, and members alikeDrive membership enrollments by engaging travelers and selling them the benefits of CLEARComply with all security and safety guidelines, policies and procedures at all timesYou will be walking through our CLEAR lanes and around the airport in order to assist our members and passengersWho You ArePositive and energetic attitudeSelf-motivated achiever interested in taking on additional responsibilities, and selling CLEAR!Ability to work in a fast-paced, high-volume, hospitality-driven atmospherePrevious sales and/or customer service experience, a plus – we'll teach you the rest!Open availability and flexibility is a must – ability to work a variety of shiftsAbility to stand for up to 8 hours per dayYou must be 18 years of age or olderAbout CLEAR:With CLEAR, you are always you. CLEAR's mission is to enable frictionless and safe journeys using your identity. With more than 10 million members and 100+ partners across North America, CLEAR's identity platform connects you to the cards in your wallet - transforming the way you live, work and travel. Trust and privacy are the foundation of CLEAR. We have a commitment to members being in control of their own information and never sell member data. CLEAR is at the highest level of security by U.S. government regulators and is also certified as Qualified Anti-Terrorism Technology under the SAFETY Act.CLEAR is an equal opportunity employer and does not discriminate based upon race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender, gender identity, gender expression, transgender status, sexual stereotypes, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

Full Time
job-list-card-figure
Member Services Representative, Medcaid
Point32Health
location-iconSomerville MA

TRANSFORMING HEALTHCARE, ONE MEMBER AT A TIMERemote Position (must reside in MA, RI, NH, CT, ME)Full Time$19.00/hr. ($39,520 annually) + monthly incentives after trainingWHAT MAKES US STAND OUT…Here at Point32Health our member service representatives are the backbone of the company. Our members are taken care of everyday because of this. The value we place on our reps is at the highest level.PAID 5-WEEK TRAININGWork-Life-Flexibility Paid volunteer time off (up to 3 days annually) Educational ReimbursementWHAT YOU’LL DO…Job SummaryUnder the general direction of the Call Center Supervisor, the Member Services Representative is responsible for providing accurate and thorough interpretation of Point32Health benefits, claims processes, eligibility, and enrollment policies to members, employers, and internal customers. In addition, the Member Services Representative is responsible for resolution of complex customer inquiries, the facilitation of problem resolution, and meeting or exceeding customers’ expectations. The Member Services Representative presents a consistent and professional demeanor to all callers and internal customers and is expected to identify opportunities to improve customer service and efficiency. The Member Services Representative is expected to take responsibility for every interaction with a customer by providing outstanding service as a means to build customer loyalty, improve customer retention, and satisfy corporate customer service goals and objectives.Job DescriptionReceives and responds to a high volume of incoming telephone calls from members, prospective members, employers, and internal Point32Health staff.Efficiently and effectively processes member calls. This includes:Accesses the most appropriate source of information and proficiently resolving the member’s concern.Accurately documents the complete encounter and maintains a professional and supportive attitude throughout the call.Asks probing questions and takes the opportunity to educate members to avoid unnecessary repeat calls.Investigates member complaints and performs front-line analysis and intervention when appropriate.Makes necessary outgoing phone calls to resolve member related inquiries.Meet or exceed department established key performance indicators.Adheres to assigned schedules to ensure appropriate phone queue coverage.Demonstrates strong written (e.g., documents calls accurately and comprehensively) and verbal skills.Employs active listening skills, demonstrates patience and empathy, and is able to handle difficult customers tactfully, courteously and professionally.Strives for improved efficiency for processing member issues. Interacts and forms contacts with other Point32Health departments in order to resolve issues.Participates in initiatives and/or responds to requests for help to contribute to team and department success.Assists in mentoring new staff as directed.Assist with department projects as needed. Requirements WHAT YOU’LL NEED…EDUCATION:High School Diploma or equivalent required. Associates degree or equivalent work experience preferred. EXPERIENCE: 6-12 months of relevant experience.Preferred customer service experience in health care, call center or corporate office.Knowledge of medical terminology is preferred.Prior experience training and working in a virtual/remote setting is strongly preferred. SKILL REQUIREMENTS: Technical Skills:Must have strong computer and telephone multitasking skillsMust have the ability to navigates through multiple systemsAccuracy in data input and documentationProficiency with MS WindowsProficient keyboard skills Interpersonal Skills:Excellent verbal and written communication skills are requiredStrong organizational skillsAbility to research and respond to a high volume of telephone inquiries in a consistent and professional mannerBasic math, grammar, and spelling are requiredAbility to work under pressure and with attention to changing prioritiesMust be able to work cooperatively as part of a team Bilingual preferred  WORKING CONDITIONS AND ADDITIONAL REQUIREMENTS:Fast paced office environment handling multiple demands exercising appropriate judgment as necessary. Requires a high level of initiative and independence and communication skills sufficient to communicate verbally via telephone. Must adapt positively to changes related to work processes, department structure, environment, and technology.Involves simultaneous use of a telephone headset, and PC/keyboard for long periods of time in order to document and communicate efficiently. Requires long periods of sitting and occasional overtime may be requested.May require ability and willingness to work from home.CONFIDENTIAL DATA: All information (written, verbal, electronic, etc.) that an employee encounters while working at Point32Heal is considered confidential. Will be exposed to and required to deal with highly confidential and sensitive material and must adhere to corporate compliance policy and department guidelines/policies and all applicable laws and regulations at all times.What we build together changes our customer's health for the better. We are looking for talented and innovative people to join our team. Come join us!Please note: As of January 18, 2022, all employees — including remote employees — must be fully vaccinated. This position will require the successful candidate to show proof of full vaccination against COVID-19. Point32Health is an equal opportunity employer, and will consider reasonable accommodation to those individuals who are unable to be vaccinated consistent with federal, state, and local law.About Us:Point32Health is a leading health and wellbeing organization, delivering an ever-better health care experience to everyone in our communities. Building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.At Point32Health, we’re working to reshape the world of health care by pushing past the status quo and delivering even more to the diverse communities we serve: more innovation, more access, more support, and healthier lives. And we want people like you on our side to make it even better.This job has been posted by TalentBoost on behalf of Point32Health. TalentBoost is committed to the fundamental principle of equal opportunity and equal treatment for every prospective and current employee. It is the policy of TalentBoost not to discriminate based on race, color, national or ethnic origin, ancestry, age, religion, creed, disability, sex and gender, sexual orientation, gender identity and/or expression, military or veteran status, or any other characteristic protected under applicable federal, state or local law.Req ID: 4946

Full Time
job-list-card-figure
Member Services Representative, Medcaid
Point32Health
location-iconEverett MA

TRANSFORMING HEALTHCARE, ONE MEMBER AT A TIMERemote Position (must reside in MA, RI, NH, CT, ME)Full Time$19.00/hr. ($39,520 annually) + monthly incentives after trainingWHAT MAKES US STAND OUT…Here at Point32Health our member service representatives are the backbone of the company. Our members are taken care of everyday because of this. The value we place on our reps is at the highest level.PAID 5-WEEK TRAININGWork-Life-Flexibility Paid volunteer time off (up to 3 days annually) Educational ReimbursementWHAT YOU’LL DO…Job SummaryUnder the general direction of the Call Center Supervisor, the Member Services Representative is responsible for providing accurate and thorough interpretation of Point32Health benefits, claims processes, eligibility, and enrollment policies to members, employers, and internal customers. In addition, the Member Services Representative is responsible for resolution of complex customer inquiries, the facilitation of problem resolution, and meeting or exceeding customers’ expectations. The Member Services Representative presents a consistent and professional demeanor to all callers and internal customers and is expected to identify opportunities to improve customer service and efficiency. The Member Services Representative is expected to take responsibility for every interaction with a customer by providing outstanding service as a means to build customer loyalty, improve customer retention, and satisfy corporate customer service goals and objectives.Job DescriptionReceives and responds to a high volume of incoming telephone calls from members, prospective members, employers, and internal Point32Health staff.Efficiently and effectively processes member calls. This includes:Accesses the most appropriate source of information and proficiently resolving the member’s concern.Accurately documents the complete encounter and maintains a professional and supportive attitude throughout the call.Asks probing questions and takes the opportunity to educate members to avoid unnecessary repeat calls.Investigates member complaints and performs front-line analysis and intervention when appropriate.Makes necessary outgoing phone calls to resolve member related inquiries.Meet or exceed department established key performance indicators.Adheres to assigned schedules to ensure appropriate phone queue coverage.Demonstrates strong written (e.g., documents calls accurately and comprehensively) and verbal skills.Employs active listening skills, demonstrates patience and empathy, and is able to handle difficult customers tactfully, courteously and professionally.Strives for improved efficiency for processing member issues. Interacts and forms contacts with other Point32Health departments in order to resolve issues.Participates in initiatives and/or responds to requests for help to contribute to team and department success.Assists in mentoring new staff as directed.Assist with department projects as needed. Requirements WHAT YOU’LL NEED…EDUCATION:High School Diploma or equivalent required. Associates degree or equivalent work experience preferred. EXPERIENCE: 6-12 months of relevant experience.Preferred customer service experience in health care, call center or corporate office.Knowledge of medical terminology is preferred.Prior experience training and working in a virtual/remote setting is strongly preferred. SKILL REQUIREMENTS: Technical Skills:Must have strong computer and telephone multitasking skillsMust have the ability to navigates through multiple systemsAccuracy in data input and documentationProficiency with MS WindowsProficient keyboard skills Interpersonal Skills:Excellent verbal and written communication skills are requiredStrong organizational skillsAbility to research and respond to a high volume of telephone inquiries in a consistent and professional mannerBasic math, grammar, and spelling are requiredAbility to work under pressure and with attention to changing prioritiesMust be able to work cooperatively as part of a team Bilingual preferred  WORKING CONDITIONS AND ADDITIONAL REQUIREMENTS:Fast paced office environment handling multiple demands exercising appropriate judgment as necessary. Requires a high level of initiative and independence and communication skills sufficient to communicate verbally via telephone. Must adapt positively to changes related to work processes, department structure, environment, and technology.Involves simultaneous use of a telephone headset, and PC/keyboard for long periods of time in order to document and communicate efficiently. Requires long periods of sitting and occasional overtime may be requested.May require ability and willingness to work from home.CONFIDENTIAL DATA: All information (written, verbal, electronic, etc.) that an employee encounters while working at Point32Heal is considered confidential. Will be exposed to and required to deal with highly confidential and sensitive material and must adhere to corporate compliance policy and department guidelines/policies and all applicable laws and regulations at all times.What we build together changes our customer's health for the better. We are looking for talented and innovative people to join our team. Come join us!Please note: As of January 18, 2022, all employees — including remote employees — must be fully vaccinated. This position will require the successful candidate to show proof of full vaccination against COVID-19. Point32Health is an equal opportunity employer, and will consider reasonable accommodation to those individuals who are unable to be vaccinated consistent with federal, state, and local law.About Us:Point32Health is a leading health and wellbeing organization, delivering an ever-better health care experience to everyone in our communities. Building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.At Point32Health, we’re working to reshape the world of health care by pushing past the status quo and delivering even more to the diverse communities we serve: more innovation, more access, more support, and healthier lives. And we want people like you on our side to make it even better.This job has been posted by TalentBoost on behalf of Point32Health. TalentBoost is committed to the fundamental principle of equal opportunity and equal treatment for every prospective and current employee. It is the policy of TalentBoost not to discriminate based on race, color, national or ethnic origin, ancestry, age, religion, creed, disability, sex and gender, sexual orientation, gender identity and/or expression, military or veteran status, or any other characteristic protected under applicable federal, state or local law.Req ID: 4946

Full Time
job-list-card-figure
Member Services Representative, Medcaid
Point32Health
location-iconJamaica plain MA

TRANSFORMING HEALTHCARE, ONE MEMBER AT A TIMERemote Position (must reside in MA, RI, NH, CT, ME)Full Time$19.00/hr. ($39,520 annually) + monthly incentives after trainingWHAT MAKES US STAND OUT…Here at Point32Health our member service representatives are the backbone of the company. Our members are taken care of everyday because of this. The value we place on our reps is at the highest level.PAID 5-WEEK TRAININGWork-Life-Flexibility Paid volunteer time off (up to 3 days annually) Educational ReimbursementWHAT YOU’LL DO…Job SummaryUnder the general direction of the Call Center Supervisor, the Member Services Representative is responsible for providing accurate and thorough interpretation of Point32Health benefits, claims processes, eligibility, and enrollment policies to members, employers, and internal customers. In addition, the Member Services Representative is responsible for resolution of complex customer inquiries, the facilitation of problem resolution, and meeting or exceeding customers’ expectations. The Member Services Representative presents a consistent and professional demeanor to all callers and internal customers and is expected to identify opportunities to improve customer service and efficiency. The Member Services Representative is expected to take responsibility for every interaction with a customer by providing outstanding service as a means to build customer loyalty, improve customer retention, and satisfy corporate customer service goals and objectives.Job DescriptionReceives and responds to a high volume of incoming telephone calls from members, prospective members, employers, and internal Point32Health staff.Efficiently and effectively processes member calls. This includes:Accesses the most appropriate source of information and proficiently resolving the member’s concern.Accurately documents the complete encounter and maintains a professional and supportive attitude throughout the call.Asks probing questions and takes the opportunity to educate members to avoid unnecessary repeat calls.Investigates member complaints and performs front-line analysis and intervention when appropriate.Makes necessary outgoing phone calls to resolve member related inquiries.Meet or exceed department established key performance indicators.Adheres to assigned schedules to ensure appropriate phone queue coverage.Demonstrates strong written (e.g., documents calls accurately and comprehensively) and verbal skills.Employs active listening skills, demonstrates patience and empathy, and is able to handle difficult customers tactfully, courteously and professionally.Strives for improved efficiency for processing member issues. Interacts and forms contacts with other Point32Health departments in order to resolve issues.Participates in initiatives and/or responds to requests for help to contribute to team and department success.Assists in mentoring new staff as directed.Assist with department projects as needed. Requirements WHAT YOU’LL NEED…EDUCATION:High School Diploma or equivalent required. Associates degree or equivalent work experience preferred. EXPERIENCE: 6-12 months of relevant experience.Preferred customer service experience in health care, call center or corporate office.Knowledge of medical terminology is preferred.Prior experience training and working in a virtual/remote setting is strongly preferred. SKILL REQUIREMENTS: Technical Skills:Must have strong computer and telephone multitasking skillsMust have the ability to navigates through multiple systemsAccuracy in data input and documentationProficiency with MS WindowsProficient keyboard skills Interpersonal Skills:Excellent verbal and written communication skills are requiredStrong organizational skillsAbility to research and respond to a high volume of telephone inquiries in a consistent and professional mannerBasic math, grammar, and spelling are requiredAbility to work under pressure and with attention to changing prioritiesMust be able to work cooperatively as part of a team Bilingual preferred  WORKING CONDITIONS AND ADDITIONAL REQUIREMENTS:Fast paced office environment handling multiple demands exercising appropriate judgment as necessary. Requires a high level of initiative and independence and communication skills sufficient to communicate verbally via telephone. Must adapt positively to changes related to work processes, department structure, environment, and technology.Involves simultaneous use of a telephone headset, and PC/keyboard for long periods of time in order to document and communicate efficiently. Requires long periods of sitting and occasional overtime may be requested.May require ability and willingness to work from home.CONFIDENTIAL DATA: All information (written, verbal, electronic, etc.) that an employee encounters while working at Point32Heal is considered confidential. Will be exposed to and required to deal with highly confidential and sensitive material and must adhere to corporate compliance policy and department guidelines/policies and all applicable laws and regulations at all times.What we build together changes our customer's health for the better. We are looking for talented and innovative people to join our team. Come join us!Please note: As of January 18, 2022, all employees — including remote employees — must be fully vaccinated. This position will require the successful candidate to show proof of full vaccination against COVID-19. Point32Health is an equal opportunity employer, and will consider reasonable accommodation to those individuals who are unable to be vaccinated consistent with federal, state, and local law.About Us:Point32Health is a leading health and wellbeing organization, delivering an ever-better health care experience to everyone in our communities. Building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.At Point32Health, we’re working to reshape the world of health care by pushing past the status quo and delivering even more to the diverse communities we serve: more innovation, more access, more support, and healthier lives. And we want people like you on our side to make it even better.This job has been posted by TalentBoost on behalf of Point32Health. TalentBoost is committed to the fundamental principle of equal opportunity and equal treatment for every prospective and current employee. It is the policy of TalentBoost not to discriminate based on race, color, national or ethnic origin, ancestry, age, religion, creed, disability, sex and gender, sexual orientation, gender identity and/or expression, military or veteran status, or any other characteristic protected under applicable federal, state or local law.Req ID: 4946

Full Time
job-list-card-figure
Member Services Representative, Medcaid
Point32Health
location-iconMalden MA

TRANSFORMING HEALTHCARE, ONE MEMBER AT A TIMERemote Position (must reside in MA, RI, NH, CT, ME)Full Time$19.00/hr. ($39,520 annually) + monthly incentives after trainingWHAT MAKES US STAND OUT…Here at Point32Health our member service representatives are the backbone of the company. Our members are taken care of everyday because of this. The value we place on our reps is at the highest level.PAID 5-WEEK TRAININGWork-Life-Flexibility Paid volunteer time off (up to 3 days annually) Educational ReimbursementWHAT YOU’LL DO…Job SummaryUnder the general direction of the Call Center Supervisor, the Member Services Representative is responsible for providing accurate and thorough interpretation of Point32Health benefits, claims processes, eligibility, and enrollment policies to members, employers, and internal customers. In addition, the Member Services Representative is responsible for resolution of complex customer inquiries, the facilitation of problem resolution, and meeting or exceeding customers’ expectations. The Member Services Representative presents a consistent and professional demeanor to all callers and internal customers and is expected to identify opportunities to improve customer service and efficiency. The Member Services Representative is expected to take responsibility for every interaction with a customer by providing outstanding service as a means to build customer loyalty, improve customer retention, and satisfy corporate customer service goals and objectives.Job DescriptionReceives and responds to a high volume of incoming telephone calls from members, prospective members, employers, and internal Point32Health staff.Efficiently and effectively processes member calls. This includes:Accesses the most appropriate source of information and proficiently resolving the member’s concern.Accurately documents the complete encounter and maintains a professional and supportive attitude throughout the call.Asks probing questions and takes the opportunity to educate members to avoid unnecessary repeat calls.Investigates member complaints and performs front-line analysis and intervention when appropriate.Makes necessary outgoing phone calls to resolve member related inquiries.Meet or exceed department established key performance indicators.Adheres to assigned schedules to ensure appropriate phone queue coverage.Demonstrates strong written (e.g., documents calls accurately and comprehensively) and verbal skills.Employs active listening skills, demonstrates patience and empathy, and is able to handle difficult customers tactfully, courteously and professionally.Strives for improved efficiency for processing member issues. Interacts and forms contacts with other Point32Health departments in order to resolve issues.Participates in initiatives and/or responds to requests for help to contribute to team and department success.Assists in mentoring new staff as directed.Assist with department projects as needed. Requirements WHAT YOU’LL NEED…EDUCATION:High School Diploma or equivalent required. Associates degree or equivalent work experience preferred. EXPERIENCE: 6-12 months of relevant experience.Preferred customer service experience in health care, call center or corporate office.Knowledge of medical terminology is preferred.Prior experience training and working in a virtual/remote setting is strongly preferred. SKILL REQUIREMENTS: Technical Skills:Must have strong computer and telephone multitasking skillsMust have the ability to navigates through multiple systemsAccuracy in data input and documentationProficiency with MS WindowsProficient keyboard skills Interpersonal Skills:Excellent verbal and written communication skills are requiredStrong organizational skillsAbility to research and respond to a high volume of telephone inquiries in a consistent and professional mannerBasic math, grammar, and spelling are requiredAbility to work under pressure and with attention to changing prioritiesMust be able to work cooperatively as part of a team Bilingual preferred  WORKING CONDITIONS AND ADDITIONAL REQUIREMENTS:Fast paced office environment handling multiple demands exercising appropriate judgment as necessary. Requires a high level of initiative and independence and communication skills sufficient to communicate verbally via telephone. Must adapt positively to changes related to work processes, department structure, environment, and technology.Involves simultaneous use of a telephone headset, and PC/keyboard for long periods of time in order to document and communicate efficiently. Requires long periods of sitting and occasional overtime may be requested.May require ability and willingness to work from home.CONFIDENTIAL DATA: All information (written, verbal, electronic, etc.) that an employee encounters while working at Point32Heal is considered confidential. Will be exposed to and required to deal with highly confidential and sensitive material and must adhere to corporate compliance policy and department guidelines/policies and all applicable laws and regulations at all times.What we build together changes our customer's health for the better. We are looking for talented and innovative people to join our team. Come join us!Please note: As of January 18, 2022, all employees — including remote employees — must be fully vaccinated. This position will require the successful candidate to show proof of full vaccination against COVID-19. Point32Health is an equal opportunity employer, and will consider reasonable accommodation to those individuals who are unable to be vaccinated consistent with federal, state, and local law.About Us:Point32Health is a leading health and wellbeing organization, delivering an ever-better health care experience to everyone in our communities. Building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.At Point32Health, we’re working to reshape the world of health care by pushing past the status quo and delivering even more to the diverse communities we serve: more innovation, more access, more support, and healthier lives. And we want people like you on our side to make it even better.This job has been posted by TalentBoost on behalf of Point32Health. TalentBoost is committed to the fundamental principle of equal opportunity and equal treatment for every prospective and current employee. It is the policy of TalentBoost not to discriminate based on race, color, national or ethnic origin, ancestry, age, religion, creed, disability, sex and gender, sexual orientation, gender identity and/or expression, military or veteran status, or any other characteristic protected under applicable federal, state or local law.Req ID: 4946

Full Time
job-list-card-figure
Member Services Representative, Medcaid
Point32Health
location-iconMedford MA

TRANSFORMING HEALTHCARE, ONE MEMBER AT A TIMERemote Position (must reside in MA, RI, NH, CT, ME)Full Time$19.00/hr. ($39,520 annually) + monthly incentives after trainingWHAT MAKES US STAND OUT…Here at Point32Health our member service representatives are the backbone of the company. Our members are taken care of everyday because of this. The value we place on our reps is at the highest level.PAID 5-WEEK TRAININGWork-Life-Flexibility Paid volunteer time off (up to 3 days annually) Educational ReimbursementWHAT YOU’LL DO…Job SummaryUnder the general direction of the Call Center Supervisor, the Member Services Representative is responsible for providing accurate and thorough interpretation of Point32Health benefits, claims processes, eligibility, and enrollment policies to members, employers, and internal customers. In addition, the Member Services Representative is responsible for resolution of complex customer inquiries, the facilitation of problem resolution, and meeting or exceeding customers’ expectations. The Member Services Representative presents a consistent and professional demeanor to all callers and internal customers and is expected to identify opportunities to improve customer service and efficiency. The Member Services Representative is expected to take responsibility for every interaction with a customer by providing outstanding service as a means to build customer loyalty, improve customer retention, and satisfy corporate customer service goals and objectives.Job DescriptionReceives and responds to a high volume of incoming telephone calls from members, prospective members, employers, and internal Point32Health staff.Efficiently and effectively processes member calls. This includes:Accesses the most appropriate source of information and proficiently resolving the member’s concern.Accurately documents the complete encounter and maintains a professional and supportive attitude throughout the call.Asks probing questions and takes the opportunity to educate members to avoid unnecessary repeat calls.Investigates member complaints and performs front-line analysis and intervention when appropriate.Makes necessary outgoing phone calls to resolve member related inquiries.Meet or exceed department established key performance indicators.Adheres to assigned schedules to ensure appropriate phone queue coverage.Demonstrates strong written (e.g., documents calls accurately and comprehensively) and verbal skills.Employs active listening skills, demonstrates patience and empathy, and is able to handle difficult customers tactfully, courteously and professionally.Strives for improved efficiency for processing member issues. Interacts and forms contacts with other Point32Health departments in order to resolve issues.Participates in initiatives and/or responds to requests for help to contribute to team and department success.Assists in mentoring new staff as directed.Assist with department projects as needed. Requirements WHAT YOU’LL NEED…EDUCATION:High School Diploma or equivalent required. Associates degree or equivalent work experience preferred. EXPERIENCE: 6-12 months of relevant experience.Preferred customer service experience in health care, call center or corporate office.Knowledge of medical terminology is preferred.Prior experience training and working in a virtual/remote setting is strongly preferred. SKILL REQUIREMENTS: Technical Skills:Must have strong computer and telephone multitasking skillsMust have the ability to navigates through multiple systemsAccuracy in data input and documentationProficiency with MS WindowsProficient keyboard skills Interpersonal Skills:Excellent verbal and written communication skills are requiredStrong organizational skillsAbility to research and respond to a high volume of telephone inquiries in a consistent and professional mannerBasic math, grammar, and spelling are requiredAbility to work under pressure and with attention to changing prioritiesMust be able to work cooperatively as part of a team Bilingual preferred  WORKING CONDITIONS AND ADDITIONAL REQUIREMENTS:Fast paced office environment handling multiple demands exercising appropriate judgment as necessary. Requires a high level of initiative and independence and communication skills sufficient to communicate verbally via telephone. Must adapt positively to changes related to work processes, department structure, environment, and technology.Involves simultaneous use of a telephone headset, and PC/keyboard for long periods of time in order to document and communicate efficiently. Requires long periods of sitting and occasional overtime may be requested.May require ability and willingness to work from home.CONFIDENTIAL DATA: All information (written, verbal, electronic, etc.) that an employee encounters while working at Point32Heal is considered confidential. Will be exposed to and required to deal with highly confidential and sensitive material and must adhere to corporate compliance policy and department guidelines/policies and all applicable laws and regulations at all times.What we build together changes our customer's health for the better. We are looking for talented and innovative people to join our team. Come join us!Please note: As of January 18, 2022, all employees — including remote employees — must be fully vaccinated. This position will require the successful candidate to show proof of full vaccination against COVID-19. Point32Health is an equal opportunity employer, and will consider reasonable accommodation to those individuals who are unable to be vaccinated consistent with federal, state, and local law.About Us:Point32Health is a leading health and wellbeing organization, delivering an ever-better health care experience to everyone in our communities. Building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.At Point32Health, we’re working to reshape the world of health care by pushing past the status quo and delivering even more to the diverse communities we serve: more innovation, more access, more support, and healthier lives. And we want people like you on our side to make it even better.This job has been posted by TalentBoost on behalf of Point32Health. TalentBoost is committed to the fundamental principle of equal opportunity and equal treatment for every prospective and current employee. It is the policy of TalentBoost not to discriminate based on race, color, national or ethnic origin, ancestry, age, religion, creed, disability, sex and gender, sexual orientation, gender identity and/or expression, military or veteran status, or any other characteristic protected under applicable federal, state or local law.Req ID: 4946

Full Time
job-list-card-figure
Member Services Representative, Medcaid
Point32Health
location-iconChestnut hill MA

TRANSFORMING HEALTHCARE, ONE MEMBER AT A TIMERemote Position (must reside in MA, RI, NH, CT, ME)Full Time$19.00/hr. ($39,520 annually) + monthly incentives after trainingWHAT MAKES US STAND OUT…Here at Point32Health our member service representatives are the backbone of the company. Our members are taken care of everyday because of this. The value we place on our reps is at the highest level.PAID 5-WEEK TRAININGWork-Life-Flexibility Paid volunteer time off (up to 3 days annually) Educational ReimbursementWHAT YOU’LL DO…Job SummaryUnder the general direction of the Call Center Supervisor, the Member Services Representative is responsible for providing accurate and thorough interpretation of Point32Health benefits, claims processes, eligibility, and enrollment policies to members, employers, and internal customers. In addition, the Member Services Representative is responsible for resolution of complex customer inquiries, the facilitation of problem resolution, and meeting or exceeding customers’ expectations. The Member Services Representative presents a consistent and professional demeanor to all callers and internal customers and is expected to identify opportunities to improve customer service and efficiency. The Member Services Representative is expected to take responsibility for every interaction with a customer by providing outstanding service as a means to build customer loyalty, improve customer retention, and satisfy corporate customer service goals and objectives.Job DescriptionReceives and responds to a high volume of incoming telephone calls from members, prospective members, employers, and internal Point32Health staff.Efficiently and effectively processes member calls. This includes:Accesses the most appropriate source of information and proficiently resolving the member’s concern.Accurately documents the complete encounter and maintains a professional and supportive attitude throughout the call.Asks probing questions and takes the opportunity to educate members to avoid unnecessary repeat calls.Investigates member complaints and performs front-line analysis and intervention when appropriate.Makes necessary outgoing phone calls to resolve member related inquiries.Meet or exceed department established key performance indicators.Adheres to assigned schedules to ensure appropriate phone queue coverage.Demonstrates strong written (e.g., documents calls accurately and comprehensively) and verbal skills.Employs active listening skills, demonstrates patience and empathy, and is able to handle difficult customers tactfully, courteously and professionally.Strives for improved efficiency for processing member issues. Interacts and forms contacts with other Point32Health departments in order to resolve issues.Participates in initiatives and/or responds to requests for help to contribute to team and department success.Assists in mentoring new staff as directed.Assist with department projects as needed. Requirements WHAT YOU’LL NEED…EDUCATION:High School Diploma or equivalent required. Associates degree or equivalent work experience preferred. EXPERIENCE: 6-12 months of relevant experience.Preferred customer service experience in health care, call center or corporate office.Knowledge of medical terminology is preferred.Prior experience training and working in a virtual/remote setting is strongly preferred. SKILL REQUIREMENTS: Technical Skills:Must have strong computer and telephone multitasking skillsMust have the ability to navigates through multiple systemsAccuracy in data input and documentationProficiency with MS WindowsProficient keyboard skills Interpersonal Skills:Excellent verbal and written communication skills are requiredStrong organizational skillsAbility to research and respond to a high volume of telephone inquiries in a consistent and professional mannerBasic math, grammar, and spelling are requiredAbility to work under pressure and with attention to changing prioritiesMust be able to work cooperatively as part of a team Bilingual preferred  WORKING CONDITIONS AND ADDITIONAL REQUIREMENTS:Fast paced office environment handling multiple demands exercising appropriate judgment as necessary. Requires a high level of initiative and independence and communication skills sufficient to communicate verbally via telephone. Must adapt positively to changes related to work processes, department structure, environment, and technology.Involves simultaneous use of a telephone headset, and PC/keyboard for long periods of time in order to document and communicate efficiently. Requires long periods of sitting and occasional overtime may be requested.May require ability and willingness to work from home.CONFIDENTIAL DATA: All information (written, verbal, electronic, etc.) that an employee encounters while working at Point32Heal is considered confidential. Will be exposed to and required to deal with highly confidential and sensitive material and must adhere to corporate compliance policy and department guidelines/policies and all applicable laws and regulations at all times.What we build together changes our customer's health for the better. We are looking for talented and innovative people to join our team. Come join us!Please note: As of January 18, 2022, all employees — including remote employees — must be fully vaccinated. This position will require the successful candidate to show proof of full vaccination against COVID-19. Point32Health is an equal opportunity employer, and will consider reasonable accommodation to those individuals who are unable to be vaccinated consistent with federal, state, and local law.About Us:Point32Health is a leading health and wellbeing organization, delivering an ever-better health care experience to everyone in our communities. Building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.At Point32Health, we’re working to reshape the world of health care by pushing past the status quo and delivering even more to the diverse communities we serve: more innovation, more access, more support, and healthier lives. And we want people like you on our side to make it even better.This job has been posted by TalentBoost on behalf of Point32Health. TalentBoost is committed to the fundamental principle of equal opportunity and equal treatment for every prospective and current employee. It is the policy of TalentBoost not to discriminate based on race, color, national or ethnic origin, ancestry, age, religion, creed, disability, sex and gender, sexual orientation, gender identity and/or expression, military or veteran status, or any other characteristic protected under applicable federal, state or local law.Req ID: 4946

Full Time
job-list-card-figure
Member Services Representative, Medcaid
Point32Health
location-iconArlington MA

TRANSFORMING HEALTHCARE, ONE MEMBER AT A TIMERemote Position (must reside in MA, RI, NH, CT, ME)Full Time$19.00/hr. ($39,520 annually) + monthly incentives after trainingWHAT MAKES US STAND OUT…Here at Point32Health our member service representatives are the backbone of the company. Our members are taken care of everyday because of this. The value we place on our reps is at the highest level.PAID 5-WEEK TRAININGWork-Life-Flexibility Paid volunteer time off (up to 3 days annually) Educational ReimbursementWHAT YOU’LL DO…Job SummaryUnder the general direction of the Call Center Supervisor, the Member Services Representative is responsible for providing accurate and thorough interpretation of Point32Health benefits, claims processes, eligibility, and enrollment policies to members, employers, and internal customers. In addition, the Member Services Representative is responsible for resolution of complex customer inquiries, the facilitation of problem resolution, and meeting or exceeding customers’ expectations. The Member Services Representative presents a consistent and professional demeanor to all callers and internal customers and is expected to identify opportunities to improve customer service and efficiency. The Member Services Representative is expected to take responsibility for every interaction with a customer by providing outstanding service as a means to build customer loyalty, improve customer retention, and satisfy corporate customer service goals and objectives.Job DescriptionReceives and responds to a high volume of incoming telephone calls from members, prospective members, employers, and internal Point32Health staff.Efficiently and effectively processes member calls. This includes:Accesses the most appropriate source of information and proficiently resolving the member’s concern.Accurately documents the complete encounter and maintains a professional and supportive attitude throughout the call.Asks probing questions and takes the opportunity to educate members to avoid unnecessary repeat calls.Investigates member complaints and performs front-line analysis and intervention when appropriate.Makes necessary outgoing phone calls to resolve member related inquiries.Meet or exceed department established key performance indicators.Adheres to assigned schedules to ensure appropriate phone queue coverage.Demonstrates strong written (e.g., documents calls accurately and comprehensively) and verbal skills.Employs active listening skills, demonstrates patience and empathy, and is able to handle difficult customers tactfully, courteously and professionally.Strives for improved efficiency for processing member issues. Interacts and forms contacts with other Point32Health departments in order to resolve issues.Participates in initiatives and/or responds to requests for help to contribute to team and department success.Assists in mentoring new staff as directed.Assist with department projects as needed. Requirements WHAT YOU’LL NEED…EDUCATION:High School Diploma or equivalent required. Associates degree or equivalent work experience preferred. EXPERIENCE: 6-12 months of relevant experience.Preferred customer service experience in health care, call center or corporate office.Knowledge of medical terminology is preferred.Prior experience training and working in a virtual/remote setting is strongly preferred. SKILL REQUIREMENTS: Technical Skills:Must have strong computer and telephone multitasking skillsMust have the ability to navigates through multiple systemsAccuracy in data input and documentationProficiency with MS WindowsProficient keyboard skills Interpersonal Skills:Excellent verbal and written communication skills are requiredStrong organizational skillsAbility to research and respond to a high volume of telephone inquiries in a consistent and professional mannerBasic math, grammar, and spelling are requiredAbility to work under pressure and with attention to changing prioritiesMust be able to work cooperatively as part of a team Bilingual preferred  WORKING CONDITIONS AND ADDITIONAL REQUIREMENTS:Fast paced office environment handling multiple demands exercising appropriate judgment as necessary. Requires a high level of initiative and independence and communication skills sufficient to communicate verbally via telephone. Must adapt positively to changes related to work processes, department structure, environment, and technology.Involves simultaneous use of a telephone headset, and PC/keyboard for long periods of time in order to document and communicate efficiently. Requires long periods of sitting and occasional overtime may be requested.May require ability and willingness to work from home.CONFIDENTIAL DATA: All information (written, verbal, electronic, etc.) that an employee encounters while working at Point32Heal is considered confidential. Will be exposed to and required to deal with highly confidential and sensitive material and must adhere to corporate compliance policy and department guidelines/policies and all applicable laws and regulations at all times.What we build together changes our customer's health for the better. We are looking for talented and innovative people to join our team. Come join us!Please note: As of January 18, 2022, all employees — including remote employees — must be fully vaccinated. This position will require the successful candidate to show proof of full vaccination against COVID-19. Point32Health is an equal opportunity employer, and will consider reasonable accommodation to those individuals who are unable to be vaccinated consistent with federal, state, and local law.About Us:Point32Health is a leading health and wellbeing organization, delivering an ever-better health care experience to everyone in our communities. Building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.At Point32Health, we’re working to reshape the world of health care by pushing past the status quo and delivering even more to the diverse communities we serve: more innovation, more access, more support, and healthier lives. And we want people like you on our side to make it even better.This job has been posted by TalentBoost on behalf of Point32Health. TalentBoost is committed to the fundamental principle of equal opportunity and equal treatment for every prospective and current employee. It is the policy of TalentBoost not to discriminate based on race, color, national or ethnic origin, ancestry, age, religion, creed, disability, sex and gender, sexual orientation, gender identity and/or expression, military or veteran status, or any other characteristic protected under applicable federal, state or local law.Req ID: 4946

Full Time
job-list-card-figure
Member Services Representative, Medcaid
Point32Health
location-iconMelrose MA

TRANSFORMING HEALTHCARE, ONE MEMBER AT A TIMERemote Position (must reside in MA, RI, NH, CT, ME)Full Time$19.00/hr. ($39,520 annually) + monthly incentives after trainingWHAT MAKES US STAND OUT…Here at Point32Health our member service representatives are the backbone of the company. Our members are taken care of everyday because of this. The value we place on our reps is at the highest level.PAID 5-WEEK TRAININGWork-Life-Flexibility Paid volunteer time off (up to 3 days annually) Educational ReimbursementWHAT YOU’LL DO…Job SummaryUnder the general direction of the Call Center Supervisor, the Member Services Representative is responsible for providing accurate and thorough interpretation of Point32Health benefits, claims processes, eligibility, and enrollment policies to members, employers, and internal customers. In addition, the Member Services Representative is responsible for resolution of complex customer inquiries, the facilitation of problem resolution, and meeting or exceeding customers’ expectations. The Member Services Representative presents a consistent and professional demeanor to all callers and internal customers and is expected to identify opportunities to improve customer service and efficiency. The Member Services Representative is expected to take responsibility for every interaction with a customer by providing outstanding service as a means to build customer loyalty, improve customer retention, and satisfy corporate customer service goals and objectives.Job DescriptionReceives and responds to a high volume of incoming telephone calls from members, prospective members, employers, and internal Point32Health staff.Efficiently and effectively processes member calls. This includes:Accesses the most appropriate source of information and proficiently resolving the member’s concern.Accurately documents the complete encounter and maintains a professional and supportive attitude throughout the call.Asks probing questions and takes the opportunity to educate members to avoid unnecessary repeat calls.Investigates member complaints and performs front-line analysis and intervention when appropriate.Makes necessary outgoing phone calls to resolve member related inquiries.Meet or exceed department established key performance indicators.Adheres to assigned schedules to ensure appropriate phone queue coverage.Demonstrates strong written (e.g., documents calls accurately and comprehensively) and verbal skills.Employs active listening skills, demonstrates patience and empathy, and is able to handle difficult customers tactfully, courteously and professionally.Strives for improved efficiency for processing member issues. Interacts and forms contacts with other Point32Health departments in order to resolve issues.Participates in initiatives and/or responds to requests for help to contribute to team and department success.Assists in mentoring new staff as directed.Assist with department projects as needed. Requirements WHAT YOU’LL NEED…EDUCATION:High School Diploma or equivalent required. Associates degree or equivalent work experience preferred. EXPERIENCE: 6-12 months of relevant experience.Preferred customer service experience in health care, call center or corporate office.Knowledge of medical terminology is preferred.Prior experience training and working in a virtual/remote setting is strongly preferred. SKILL REQUIREMENTS: Technical Skills:Must have strong computer and telephone multitasking skillsMust have the ability to navigates through multiple systemsAccuracy in data input and documentationProficiency with MS WindowsProficient keyboard skills Interpersonal Skills:Excellent verbal and written communication skills are requiredStrong organizational skillsAbility to research and respond to a high volume of telephone inquiries in a consistent and professional mannerBasic math, grammar, and spelling are requiredAbility to work under pressure and with attention to changing prioritiesMust be able to work cooperatively as part of a team Bilingual preferred  WORKING CONDITIONS AND ADDITIONAL REQUIREMENTS:Fast paced office environment handling multiple demands exercising appropriate judgment as necessary. Requires a high level of initiative and independence and communication skills sufficient to communicate verbally via telephone. Must adapt positively to changes related to work processes, department structure, environment, and technology.Involves simultaneous use of a telephone headset, and PC/keyboard for long periods of time in order to document and communicate efficiently. Requires long periods of sitting and occasional overtime may be requested.May require ability and willingness to work from home.CONFIDENTIAL DATA: All information (written, verbal, electronic, etc.) that an employee encounters while working at Point32Heal is considered confidential. Will be exposed to and required to deal with highly confidential and sensitive material and must adhere to corporate compliance policy and department guidelines/policies and all applicable laws and regulations at all times.What we build together changes our customer's health for the better. We are looking for talented and innovative people to join our team. Come join us!Please note: As of January 18, 2022, all employees — including remote employees — must be fully vaccinated. This position will require the successful candidate to show proof of full vaccination against COVID-19. Point32Health is an equal opportunity employer, and will consider reasonable accommodation to those individuals who are unable to be vaccinated consistent with federal, state, and local law.About Us:Point32Health is a leading health and wellbeing organization, delivering an ever-better health care experience to everyone in our communities. Building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.At Point32Health, we’re working to reshape the world of health care by pushing past the status quo and delivering even more to the diverse communities we serve: more innovation, more access, more support, and healthier lives. And we want people like you on our side to make it even better.This job has been posted by TalentBoost on behalf of Point32Health. TalentBoost is committed to the fundamental principle of equal opportunity and equal treatment for every prospective and current employee. It is the policy of TalentBoost not to discriminate based on race, color, national or ethnic origin, ancestry, age, religion, creed, disability, sex and gender, sexual orientation, gender identity and/or expression, military or veteran status, or any other characteristic protected under applicable federal, state or local law.Req ID: 4946

Full Time
job-list-card-figure
Member Services Representative, Medcaid
Point32Health
location-iconReadville MA

TRANSFORMING HEALTHCARE, ONE MEMBER AT A TIMERemote Position (must reside in MA, RI, NH, CT, ME)Full Time$19.00/hr. ($39,520 annually) + monthly incentives after trainingWHAT MAKES US STAND OUT…Here at Point32Health our member service representatives are the backbone of the company. Our members are taken care of everyday because of this. The value we place on our reps is at the highest level.PAID 5-WEEK TRAININGWork-Life-Flexibility Paid volunteer time off (up to 3 days annually) Educational ReimbursementWHAT YOU’LL DO…Job SummaryUnder the general direction of the Call Center Supervisor, the Member Services Representative is responsible for providing accurate and thorough interpretation of Point32Health benefits, claims processes, eligibility, and enrollment policies to members, employers, and internal customers. In addition, the Member Services Representative is responsible for resolution of complex customer inquiries, the facilitation of problem resolution, and meeting or exceeding customers’ expectations. The Member Services Representative presents a consistent and professional demeanor to all callers and internal customers and is expected to identify opportunities to improve customer service and efficiency. The Member Services Representative is expected to take responsibility for every interaction with a customer by providing outstanding service as a means to build customer loyalty, improve customer retention, and satisfy corporate customer service goals and objectives.Job DescriptionReceives and responds to a high volume of incoming telephone calls from members, prospective members, employers, and internal Point32Health staff.Efficiently and effectively processes member calls. This includes:Accesses the most appropriate source of information and proficiently resolving the member’s concern.Accurately documents the complete encounter and maintains a professional and supportive attitude throughout the call.Asks probing questions and takes the opportunity to educate members to avoid unnecessary repeat calls.Investigates member complaints and performs front-line analysis and intervention when appropriate.Makes necessary outgoing phone calls to resolve member related inquiries.Meet or exceed department established key performance indicators.Adheres to assigned schedules to ensure appropriate phone queue coverage.Demonstrates strong written (e.g., documents calls accurately and comprehensively) and verbal skills.Employs active listening skills, demonstrates patience and empathy, and is able to handle difficult customers tactfully, courteously and professionally.Strives for improved efficiency for processing member issues. Interacts and forms contacts with other Point32Health departments in order to resolve issues.Participates in initiatives and/or responds to requests for help to contribute to team and department success.Assists in mentoring new staff as directed.Assist with department projects as needed. Requirements WHAT YOU’LL NEED…EDUCATION:High School Diploma or equivalent required. Associates degree or equivalent work experience preferred. EXPERIENCE: 6-12 months of relevant experience.Preferred customer service experience in health care, call center or corporate office.Knowledge of medical terminology is preferred.Prior experience training and working in a virtual/remote setting is strongly preferred. SKILL REQUIREMENTS: Technical Skills:Must have strong computer and telephone multitasking skillsMust have the ability to navigates through multiple systemsAccuracy in data input and documentationProficiency with MS WindowsProficient keyboard skills Interpersonal Skills:Excellent verbal and written communication skills are requiredStrong organizational skillsAbility to research and respond to a high volume of telephone inquiries in a consistent and professional mannerBasic math, grammar, and spelling are requiredAbility to work under pressure and with attention to changing prioritiesMust be able to work cooperatively as part of a team Bilingual preferred  WORKING CONDITIONS AND ADDITIONAL REQUIREMENTS:Fast paced office environment handling multiple demands exercising appropriate judgment as necessary. Requires a high level of initiative and independence and communication skills sufficient to communicate verbally via telephone. Must adapt positively to changes related to work processes, department structure, environment, and technology.Involves simultaneous use of a telephone headset, and PC/keyboard for long periods of time in order to document and communicate efficiently. Requires long periods of sitting and occasional overtime may be requested.May require ability and willingness to work from home.CONFIDENTIAL DATA: All information (written, verbal, electronic, etc.) that an employee encounters while working at Point32Heal is considered confidential. Will be exposed to and required to deal with highly confidential and sensitive material and must adhere to corporate compliance policy and department guidelines/policies and all applicable laws and regulations at all times.What we build together changes our customer's health for the better. We are looking for talented and innovative people to join our team. Come join us!Please note: As of January 18, 2022, all employees — including remote employees — must be fully vaccinated. This position will require the successful candidate to show proof of full vaccination against COVID-19. Point32Health is an equal opportunity employer, and will consider reasonable accommodation to those individuals who are unable to be vaccinated consistent with federal, state, and local law.About Us:Point32Health is a leading health and wellbeing organization, delivering an ever-better health care experience to everyone in our communities. Building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.At Point32Health, we’re working to reshape the world of health care by pushing past the status quo and delivering even more to the diverse communities we serve: more innovation, more access, more support, and healthier lives. And we want people like you on our side to make it even better.This job has been posted by TalentBoost on behalf of Point32Health. TalentBoost is committed to the fundamental principle of equal opportunity and equal treatment for every prospective and current employee. It is the policy of TalentBoost not to discriminate based on race, color, national or ethnic origin, ancestry, age, religion, creed, disability, sex and gender, sexual orientation, gender identity and/or expression, military or veteran status, or any other characteristic protected under applicable federal, state or local law.Req ID: 4946

Full Time
job-list-card-figure
Member Services Representative, Medcaid
Point32Health
location-iconNewton center MA

TRANSFORMING HEALTHCARE, ONE MEMBER AT A TIMERemote Position (must reside in MA, RI, NH, CT, ME)Full Time$19.00/hr. ($39,520 annually) + monthly incentives after trainingWHAT MAKES US STAND OUT…Here at Point32Health our member service representatives are the backbone of the company. Our members are taken care of everyday because of this. The value we place on our reps is at the highest level.PAID 5-WEEK TRAININGWork-Life-Flexibility Paid volunteer time off (up to 3 days annually) Educational ReimbursementWHAT YOU’LL DO…Job SummaryUnder the general direction of the Call Center Supervisor, the Member Services Representative is responsible for providing accurate and thorough interpretation of Point32Health benefits, claims processes, eligibility, and enrollment policies to members, employers, and internal customers. In addition, the Member Services Representative is responsible for resolution of complex customer inquiries, the facilitation of problem resolution, and meeting or exceeding customers’ expectations. The Member Services Representative presents a consistent and professional demeanor to all callers and internal customers and is expected to identify opportunities to improve customer service and efficiency. The Member Services Representative is expected to take responsibility for every interaction with a customer by providing outstanding service as a means to build customer loyalty, improve customer retention, and satisfy corporate customer service goals and objectives.Job DescriptionReceives and responds to a high volume of incoming telephone calls from members, prospective members, employers, and internal Point32Health staff.Efficiently and effectively processes member calls. This includes:Accesses the most appropriate source of information and proficiently resolving the member’s concern.Accurately documents the complete encounter and maintains a professional and supportive attitude throughout the call.Asks probing questions and takes the opportunity to educate members to avoid unnecessary repeat calls.Investigates member complaints and performs front-line analysis and intervention when appropriate.Makes necessary outgoing phone calls to resolve member related inquiries.Meet or exceed department established key performance indicators.Adheres to assigned schedules to ensure appropriate phone queue coverage.Demonstrates strong written (e.g., documents calls accurately and comprehensively) and verbal skills.Employs active listening skills, demonstrates patience and empathy, and is able to handle difficult customers tactfully, courteously and professionally.Strives for improved efficiency for processing member issues. Interacts and forms contacts with other Point32Health departments in order to resolve issues.Participates in initiatives and/or responds to requests for help to contribute to team and department success.Assists in mentoring new staff as directed.Assist with department projects as needed. Requirements WHAT YOU’LL NEED…EDUCATION:High School Diploma or equivalent required. Associates degree or equivalent work experience preferred. EXPERIENCE: 6-12 months of relevant experience.Preferred customer service experience in health care, call center or corporate office.Knowledge of medical terminology is preferred.Prior experience training and working in a virtual/remote setting is strongly preferred. SKILL REQUIREMENTS: Technical Skills:Must have strong computer and telephone multitasking skillsMust have the ability to navigates through multiple systemsAccuracy in data input and documentationProficiency with MS WindowsProficient keyboard skills Interpersonal Skills:Excellent verbal and written communication skills are requiredStrong organizational skillsAbility to research and respond to a high volume of telephone inquiries in a consistent and professional mannerBasic math, grammar, and spelling are requiredAbility to work under pressure and with attention to changing prioritiesMust be able to work cooperatively as part of a team Bilingual preferred  WORKING CONDITIONS AND ADDITIONAL REQUIREMENTS:Fast paced office environment handling multiple demands exercising appropriate judgment as necessary. Requires a high level of initiative and independence and communication skills sufficient to communicate verbally via telephone. Must adapt positively to changes related to work processes, department structure, environment, and technology.Involves simultaneous use of a telephone headset, and PC/keyboard for long periods of time in order to document and communicate efficiently. Requires long periods of sitting and occasional overtime may be requested.May require ability and willingness to work from home.CONFIDENTIAL DATA: All information (written, verbal, electronic, etc.) that an employee encounters while working at Point32Heal is considered confidential. Will be exposed to and required to deal with highly confidential and sensitive material and must adhere to corporate compliance policy and department guidelines/policies and all applicable laws and regulations at all times.What we build together changes our customer's health for the better. We are looking for talented and innovative people to join our team. Come join us!Please note: As of January 18, 2022, all employees — including remote employees — must be fully vaccinated. This position will require the successful candidate to show proof of full vaccination against COVID-19. Point32Health is an equal opportunity employer, and will consider reasonable accommodation to those individuals who are unable to be vaccinated consistent with federal, state, and local law.About Us:Point32Health is a leading health and wellbeing organization, delivering an ever-better health care experience to everyone in our communities. Building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.At Point32Health, we’re working to reshape the world of health care by pushing past the status quo and delivering even more to the diverse communities we serve: more innovation, more access, more support, and healthier lives. And we want people like you on our side to make it even better.This job has been posted by TalentBoost on behalf of Point32Health. TalentBoost is committed to the fundamental principle of equal opportunity and equal treatment for every prospective and current employee. It is the policy of TalentBoost not to discriminate based on race, color, national or ethnic origin, ancestry, age, religion, creed, disability, sex and gender, sexual orientation, gender identity and/or expression, military or veteran status, or any other characteristic protected under applicable federal, state or local law.Req ID: 4946

Full Time
job-list-card-figure
Member Services Representative, HP Commercial
Point32Health
location-iconChelsea MA

TRANSFORMING HEALTHCARE, ONE MEMBER AT A TIMERemote Position (must reside in MA, RI, NH, CT, ME)Full Time$19.00/hr. ($39,520 annually) + monthly incentives after trainingWHAT MAKES US STAND OUT…Here at Point32Health our member service representatives are the backbone of the company. Our members are taken care of everyday because of this. The value we place on our reps is at the highest level.PAID TRAINING (9/12 to 11/11 8:30am to 5:00pm Mon-Fri)Work-Life-Flexibility Paid volunteer time off (up to 3 days annually) Educational ReimbursementWHAT YOU’LL DO…Job SummaryUnder the general direction of the Call Center Supervisor, the Member Services Representative is responsible for providing accurate and thorough interpretation of Point32Health benefits, claims processes, eligibility, and enrollment policies to members, employers, and internal customers. In addition, the Member Services Representative is responsible for resolution of complex customer inquiries, the facilitation of problem resolution, and meeting or exceeding customers’ expectations. The Member Services Representative presents a consistent and professional demeanor to all callers and internal customers and is expected to identify opportunities to improve customer service and efficiency. The Member Services Representative is expected to take responsibility for every interaction with a customer by providing outstanding service as a means to build customer loyalty, improve customer retention, and satisfy corporate customer service goals and objectives. Job DescriptionReceives and responds to a high volume of incoming telephone calls from members, prospective members, employers, and internal Point32Health staff.Efficiently and effectively processes member calls. This includes:Accesses the most appropriate source of information and proficiently resolving the member’s concern.Accurately documents the complete encounter and maintains a professional and supportive attitude throughout the call.Asks probing questions and takes the opportunity to educate members to avoid unnecessary repeat calls.Investigates member complaints and performs front-line analysis and intervention when appropriate.Makes necessary outgoing phone calls to resolve member related inquiries.Meet or exceed department established key performance indicators.Adheres to assigned schedules to ensure appropriate phone queue coverage.Demonstrates strong written (e.g., documents calls accurately and comprehensively) and verbal skills.Employs active listening skills, demonstrates patience and empathy, and is able to handle difficult customers tactfully, courteously and professionally.Strives for improved efficiency for processing member issues. Interacts and forms contacts with other Point32Health departments in order to resolve issues.Participates in initiatives and/or responds to requests for help to contribute to team and department success.Assists in mentoring new staff as directed.Assist with department projects as needed. RequirementsWHAT YOU’LL NEED…EDUCATION:High School Diploma or equivalent required. Associates degree or equivalent work experience preferred.EXPERIENCE: 6-12 months of relevant experience.Preferred customer service experience in health care, call center or corporate office.Knowledge of medical terminology is preferred.Prior experience training and working in a virtual/remote setting is strongly preferred.SKILL REQUIREMENTS: Technical Skills:Must have strong computer and telephone multitasking skillsMust have the ability to navigates through multiple systemsAccuracy in data input and documentationProficiency with MS WindowsProficient keyboard skillsInterpersonal Skills:Excellent verbal and written communication skills are requiredStrong organizational skillsAbility to research and respond to a high volume of telephone inquiries in a consistent and professional mannerBasic math, grammar, and spelling are requiredAbility to work under pressure and with attention to changing prioritiesMust be able to work cooperatively as part of a team Bilingual preferred WORKING CONDITIONS AND ADDITIONAL REQUIREMENTS:Fast paced office environment handling multiple demands exercising appropriate judgment as necessary. Requires a high level of initiative and independence and communication skills sufficient to communicate verbally via telephone. Must adapt positively to changes related to work processes, department structure, environment, and technology.Involves simultaneous use of a telephone headset, and PC/keyboard for long periods of time in order to document and communicate efficiently. Requires long periods of sitting and occasional overtime may be requested.May require ability and willingness to work from home. CONFIDENTIAL DATA: All information (written, verbal, electronic, etc.) that an employee encounters while working at Point32Heal is considered confidential. Will be exposed to and required to deal with highly confidential and sensitive material and must adhere to corporate compliance policy and department guidelines/policies and all applicable laws and regulations at all times. What we build together changes our customer's health for the better. We are looking for talented and innovative people to join our team. Come join us!Please note: As of January 18, 2022, all employees — including remote employees — must be fully vaccinated. This position will require the successful candidate to show proof of full vaccination against COVID-19. Point32Health is an equal opportunity employer, and will consider reasonable accommodation to those individuals who are unable to be vaccinated consistent with federal, state, and local law.  About UsPoint32Health is a leading health and wellbeing organization, delivering an ever-better health care experience to everyone in our communities. Building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.At Point32Health, we’re working to reshape the world of health care by pushing past the status quo and delivering even more to the diverse communities we serve: more innovation, more access, more support, and healthier lives. And we want people like you on our side to make it even better.This job has been posted by TalentBoost on behalf of Point32Health. TalentBoost is committed to the fundamental principle of equal opportunity and equal treatment for every prospective and current employee. It is the policy of TalentBoost not to discriminate based on race, color, national or ethnic origin, ancestry, age, religion, creed, disability, sex and gender, sexual orientation, gender identity and/or expression, military or veteran status, or any other characteristic protected under applicable federal, state or local law.

Full Time
job-list-card-figure
Member Services Representative, Medicare THP
Point32Health
location-iconChelsea MA

TRANSFORMING HEALTHCARE, ONE MEMBER AT A TIMERemote Position (must reside in MA, RI, NH, CT, ME)Full Time$19.00/hr. ($39,520 annually) + monthly incentives after trainingWHAT MAKES US STAND OUT…Here at Point32Health our member service representatives are the backbone of the company. Our members are taken care of everyday because of this. The value we place on our reps is at the highest level.PAID TRAININGWork-Life-Flexibility Paid volunteer time off (up to 3 days annually) Educational ReimbursementWHAT YOU’LL DO…Job SummaryUnder the general direction of the Call Center Supervisor, the Member Services Representative is responsible for providing accurate and thorough interpretation of Point32Health benefits, claims processes, eligibility, and enrollment policies to members, employers, and internal customers. In addition, the Member Services Representative is responsible for resolution of complex customer inquiries, the facilitation of problem resolution, and meeting or exceeding customers’ expectations. The Member Services Representative presents a consistent and professional demeanor to all callers and internal customers and is expected to identify opportunities to improve customer service and efficiency. The Member Services Representative is expected to take responsibility for every interaction with a customer by providing outstanding service as a means to build customer loyalty, improve customer retention, and satisfy corporate customer service goals and objectives.Job DescriptionReceives and responds to a high volume of incoming telephone calls from members, prospective members, employers, and internal Point32Health staff.Efficiently and effectively processes member calls. This includes:Accesses the most appropriate source of information and proficiently resolving the member’s concern.Accurately documents the complete encounter and maintains a professional and supportive attitude throughout the call.Asks probing questions and takes the opportunity to educate members to avoid unnecessary repeat calls.Investigates member complaints and performs front-line analysis and intervention when appropriate.Makes necessary outgoing phone calls to resolve member related inquiries.Meet or exceed department established key performance indicators.Adheres to assigned schedules to ensure appropriate phone queue coverage.Demonstrates strong written (e.g., documents calls accurately and comprehensively) and verbal skills.Employs active listening skills, demonstrates patience and empathy, and is able to handle difficult customers tactfully, courteously and professionally.Strives for improved efficiency for processing member issues. Interacts and forms contacts with other Point32Health departments in order to resolve issues.Participates in initiatives and/or responds to requests for help to contribute to team and department success.Assists in mentoring new staff as directed.Assist with department projects as needed.RequirementsWHAT YOU’LL NEED…EDUCATION:High School Diploma or equivalent required. Associates degree or equivalent work experience preferred.EXPERIENCE: 6-12 months of relevant experience.Preferred customer service experience in health care, call center or corporate office.Knowledge of medical terminology is preferred.Prior experience training and working in a virtual/remote setting is strongly preferred.SKILL REQUIREMENTS: Technical Skills:Must have strong computer and telephone multitasking skillsMust have the ability to navigates through multiple systemsAccuracy in data input and documentationProficiency with MS WindowsProficient keyboard skillsInterpersonal Skills:Excellent verbal and written communication skills are requiredStrong organizational skillsAbility to research and respond to a high volume of telephone inquiries in a consistent and professional mannerBasic math, grammar, and spelling are requiredAbility to work under pressure and with attention to changing prioritiesMust be able to work cooperatively as part of a team Bilingual preferred WORKING CONDITIONS AND ADDITIONAL REQUIREMENTS:Fast paced office environment handling multiple demands exercising appropriate judgment as necessary. Requires a high level of initiative and independence and communication skills sufficient to communicate verbally via telephone. Must adapt positively to changes related to work processes, department structure, environment, and technology.Involves simultaneous use of a telephone headset, and PC/keyboard for long periods of time in order to document and communicate efficiently. Requires long periods of sitting and occasional overtime may be requested.May require ability and willingness to work from home.CONFIDENTIAL DATA: All information (written, verbal, electronic, etc.) that an employee encounters while working at Point32Heal is considered confidential. Will be exposed to and required to deal with highly confidential and sensitive material and must adhere to corporate compliance policy and department guidelines/policies and all applicable laws and regulations at all times.What we build together changes our customer's health for the better. We are looking for talented and innovative people to join our team. Come join us!Please note: As of January 18, 2022, all employees — including remote employees — must be fully vaccinated. This position will require the successful candidate to show proof of full vaccination against COVID-19. Point32Health is an equal opportunity employer, and will consider reasonable accommodation to those individuals who are unable to be vaccinated consistent with federal, state, and local law. About UsPoint32Health is a leading health and wellbeing organization, delivering an ever-better health care experience to everyone in our communities. Building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.At Point32Health, we’re working to reshape the world of health care by pushing past the status quo and delivering even more to the diverse communities we serve: more innovation, more access, more support, and healthier lives. And we want people like you on our side to make it even better.This job has been posted by TalentBoost on behalf of Point32Health. TalentBoost is committed to the fundamental principle of equal opportunity and equal treatment for every prospective and current employee. It is the policy of TalentBoost not to discriminate based on race, color, national or ethnic origin, ancestry, age, religion, creed, disability, sex and gender, sexual orientation, gender identity and/or expression, military or veteran status, or any other characteristic protected under applicable federal, state or local law.Req ID: R4947

Full Time
job-list-card-figure
Member Services Representative, Medicare THP
Point32Health
location-iconSomerville MA

TRANSFORMING HEALTHCARE, ONE MEMBER AT A TIMERemote Position (must reside in MA, RI, NH, CT, ME)Full Time$19.00/hr. ($39,520 annually) + monthly incentives after trainingWHAT MAKES US STAND OUT…Here at Point32Health our member service representatives are the backbone of the company. Our members are taken care of everyday because of this. The value we place on our reps is at the highest level.PAID TRAININGWork-Life-Flexibility Paid volunteer time off (up to 3 days annually) Educational ReimbursementWHAT YOU’LL DO…Job SummaryUnder the general direction of the Call Center Supervisor, the Member Services Representative is responsible for providing accurate and thorough interpretation of Point32Health benefits, claims processes, eligibility, and enrollment policies to members, employers, and internal customers. In addition, the Member Services Representative is responsible for resolution of complex customer inquiries, the facilitation of problem resolution, and meeting or exceeding customers’ expectations. The Member Services Representative presents a consistent and professional demeanor to all callers and internal customers and is expected to identify opportunities to improve customer service and efficiency. The Member Services Representative is expected to take responsibility for every interaction with a customer by providing outstanding service as a means to build customer loyalty, improve customer retention, and satisfy corporate customer service goals and objectives.Job DescriptionReceives and responds to a high volume of incoming telephone calls from members, prospective members, employers, and internal Point32Health staff.Efficiently and effectively processes member calls. This includes:Accesses the most appropriate source of information and proficiently resolving the member’s concern.Accurately documents the complete encounter and maintains a professional and supportive attitude throughout the call.Asks probing questions and takes the opportunity to educate members to avoid unnecessary repeat calls.Investigates member complaints and performs front-line analysis and intervention when appropriate.Makes necessary outgoing phone calls to resolve member related inquiries.Meet or exceed department established key performance indicators.Adheres to assigned schedules to ensure appropriate phone queue coverage.Demonstrates strong written (e.g., documents calls accurately and comprehensively) and verbal skills.Employs active listening skills, demonstrates patience and empathy, and is able to handle difficult customers tactfully, courteously and professionally.Strives for improved efficiency for processing member issues. Interacts and forms contacts with other Point32Health departments in order to resolve issues.Participates in initiatives and/or responds to requests for help to contribute to team and department success.Assists in mentoring new staff as directed.Assist with department projects as needed.RequirementsWHAT YOU’LL NEED…EDUCATION:High School Diploma or equivalent required. Associates degree or equivalent work experience preferred.EXPERIENCE: 6-12 months of relevant experience.Preferred customer service experience in health care, call center or corporate office.Knowledge of medical terminology is preferred.Prior experience training and working in a virtual/remote setting is strongly preferred.SKILL REQUIREMENTS: Technical Skills:Must have strong computer and telephone multitasking skillsMust have the ability to navigates through multiple systemsAccuracy in data input and documentationProficiency with MS WindowsProficient keyboard skillsInterpersonal Skills:Excellent verbal and written communication skills are requiredStrong organizational skillsAbility to research and respond to a high volume of telephone inquiries in a consistent and professional mannerBasic math, grammar, and spelling are requiredAbility to work under pressure and with attention to changing prioritiesMust be able to work cooperatively as part of a team Bilingual preferred WORKING CONDITIONS AND ADDITIONAL REQUIREMENTS:Fast paced office environment handling multiple demands exercising appropriate judgment as necessary. Requires a high level of initiative and independence and communication skills sufficient to communicate verbally via telephone. Must adapt positively to changes related to work processes, department structure, environment, and technology.Involves simultaneous use of a telephone headset, and PC/keyboard for long periods of time in order to document and communicate efficiently. Requires long periods of sitting and occasional overtime may be requested.May require ability and willingness to work from home.CONFIDENTIAL DATA: All information (written, verbal, electronic, etc.) that an employee encounters while working at Point32Heal is considered confidential. Will be exposed to and required to deal with highly confidential and sensitive material and must adhere to corporate compliance policy and department guidelines/policies and all applicable laws and regulations at all times.What we build together changes our customer's health for the better. We are looking for talented and innovative people to join our team. Come join us!Please note: As of January 18, 2022, all employees — including remote employees — must be fully vaccinated. This position will require the successful candidate to show proof of full vaccination against COVID-19. Point32Health is an equal opportunity employer, and will consider reasonable accommodation to those individuals who are unable to be vaccinated consistent with federal, state, and local law. About UsPoint32Health is a leading health and wellbeing organization, delivering an ever-better health care experience to everyone in our communities. Building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.At Point32Health, we’re working to reshape the world of health care by pushing past the status quo and delivering even more to the diverse communities we serve: more innovation, more access, more support, and healthier lives. And we want people like you on our side to make it even better.This job has been posted by TalentBoost on behalf of Point32Health. TalentBoost is committed to the fundamental principle of equal opportunity and equal treatment for every prospective and current employee. It is the policy of TalentBoost not to discriminate based on race, color, national or ethnic origin, ancestry, age, religion, creed, disability, sex and gender, sexual orientation, gender identity and/or expression, military or veteran status, or any other characteristic protected under applicable federal, state or local law.Req ID: R4947

Full Time
job-list-card-figure
Member Services Representative, Medcaid
Point32Health
location-iconNewtonville MA

TRANSFORMING HEALTHCARE, ONE MEMBER AT A TIMERemote Position (must reside in MA, RI, NH, CT, ME)Full Time$19.00/hr. ($39,520 annually) + monthly incentives after trainingWHAT MAKES US STAND OUT…Here at Point32Health our member service representatives are the backbone of the company. Our members are taken care of everyday because of this. The value we place on our reps is at the highest level.PAID 5-WEEK TRAININGWork-Life-Flexibility Paid volunteer time off (up to 3 days annually) Educational ReimbursementWHAT YOU’LL DO…Job SummaryUnder the general direction of the Call Center Supervisor, the Member Services Representative is responsible for providing accurate and thorough interpretation of Point32Health benefits, claims processes, eligibility, and enrollment policies to members, employers, and internal customers. In addition, the Member Services Representative is responsible for resolution of complex customer inquiries, the facilitation of problem resolution, and meeting or exceeding customers’ expectations. The Member Services Representative presents a consistent and professional demeanor to all callers and internal customers and is expected to identify opportunities to improve customer service and efficiency. The Member Services Representative is expected to take responsibility for every interaction with a customer by providing outstanding service as a means to build customer loyalty, improve customer retention, and satisfy corporate customer service goals and objectives.Job DescriptionReceives and responds to a high volume of incoming telephone calls from members, prospective members, employers, and internal Point32Health staff.Efficiently and effectively processes member calls. This includes:Accesses the most appropriate source of information and proficiently resolving the member’s concern.Accurately documents the complete encounter and maintains a professional and supportive attitude throughout the call.Asks probing questions and takes the opportunity to educate members to avoid unnecessary repeat calls.Investigates member complaints and performs front-line analysis and intervention when appropriate.Makes necessary outgoing phone calls to resolve member related inquiries.Meet or exceed department established key performance indicators.Adheres to assigned schedules to ensure appropriate phone queue coverage.Demonstrates strong written (e.g., documents calls accurately and comprehensively) and verbal skills.Employs active listening skills, demonstrates patience and empathy, and is able to handle difficult customers tactfully, courteously and professionally.Strives for improved efficiency for processing member issues. Interacts and forms contacts with other Point32Health departments in order to resolve issues.Participates in initiatives and/or responds to requests for help to contribute to team and department success.Assists in mentoring new staff as directed.Assist with department projects as needed. Requirements WHAT YOU’LL NEED…EDUCATION:High School Diploma or equivalent required. Associates degree or equivalent work experience preferred. EXPERIENCE: 6-12 months of relevant experience.Preferred customer service experience in health care, call center or corporate office.Knowledge of medical terminology is preferred.Prior experience training and working in a virtual/remote setting is strongly preferred. SKILL REQUIREMENTS: Technical Skills:Must have strong computer and telephone multitasking skillsMust have the ability to navigates through multiple systemsAccuracy in data input and documentationProficiency with MS WindowsProficient keyboard skills Interpersonal Skills:Excellent verbal and written communication skills are requiredStrong organizational skillsAbility to research and respond to a high volume of telephone inquiries in a consistent and professional mannerBasic math, grammar, and spelling are requiredAbility to work under pressure and with attention to changing prioritiesMust be able to work cooperatively as part of a team Bilingual preferred  WORKING CONDITIONS AND ADDITIONAL REQUIREMENTS:Fast paced office environment handling multiple demands exercising appropriate judgment as necessary. Requires a high level of initiative and independence and communication skills sufficient to communicate verbally via telephone. Must adapt positively to changes related to work processes, department structure, environment, and technology.Involves simultaneous use of a telephone headset, and PC/keyboard for long periods of time in order to document and communicate efficiently. Requires long periods of sitting and occasional overtime may be requested.May require ability and willingness to work from home.CONFIDENTIAL DATA: All information (written, verbal, electronic, etc.) that an employee encounters while working at Point32Heal is considered confidential. Will be exposed to and required to deal with highly confidential and sensitive material and must adhere to corporate compliance policy and department guidelines/policies and all applicable laws and regulations at all times.What we build together changes our customer's health for the better. We are looking for talented and innovative people to join our team. Come join us!Please note: As of January 18, 2022, all employees — including remote employees — must be fully vaccinated. This position will require the successful candidate to show proof of full vaccination against COVID-19. Point32Health is an equal opportunity employer, and will consider reasonable accommodation to those individuals who are unable to be vaccinated consistent with federal, state, and local law.About Us:Point32Health is a leading health and wellbeing organization, delivering an ever-better health care experience to everyone in our communities. Building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.At Point32Health, we’re working to reshape the world of health care by pushing past the status quo and delivering even more to the diverse communities we serve: more innovation, more access, more support, and healthier lives. And we want people like you on our side to make it even better.This job has been posted by TalentBoost on behalf of Point32Health. TalentBoost is committed to the fundamental principle of equal opportunity and equal treatment for every prospective and current employee. It is the policy of TalentBoost not to discriminate based on race, color, national or ethnic origin, ancestry, age, religion, creed, disability, sex and gender, sexual orientation, gender identity and/or expression, military or veteran status, or any other characteristic protected under applicable federal, state or local law.Req ID: 4946

Full Time
job-list-card-figure
Member Services Representative, HP Commercial
Point32Health
location-iconBoston MA

TRANSFORMING HEALTHCARE, ONE MEMBER AT A TIMERemote Position (must reside in MA, RI, NH, CT, ME)Full Time$19.00/hr. ($39,520 annually) + monthly incentives after trainingWHAT MAKES US STAND OUT…Here at Point32Health our member service representatives are the backbone of the company. Our members are taken care of everyday because of this. The value we place on our reps is at the highest level.PAID TRAINING (9/12 to 11/11 8:30am to 5:00pm Mon-Fri)Work-Life-Flexibility Paid volunteer time off (up to 3 days annually) Educational ReimbursementWHAT YOU’LL DO…Job SummaryUnder the general direction of the Call Center Supervisor, the Member Services Representative is responsible for providing accurate and thorough interpretation of Point32Health benefits, claims processes, eligibility, and enrollment policies to members, employers, and internal customers. In addition, the Member Services Representative is responsible for resolution of complex customer inquiries, the facilitation of problem resolution, and meeting or exceeding customers’ expectations. The Member Services Representative presents a consistent and professional demeanor to all callers and internal customers and is expected to identify opportunities to improve customer service and efficiency. The Member Services Representative is expected to take responsibility for every interaction with a customer by providing outstanding service as a means to build customer loyalty, improve customer retention, and satisfy corporate customer service goals and objectives. Job DescriptionReceives and responds to a high volume of incoming telephone calls from members, prospective members, employers, and internal Point32Health staff.Efficiently and effectively processes member calls. This includes:Accesses the most appropriate source of information and proficiently resolving the member’s concern.Accurately documents the complete encounter and maintains a professional and supportive attitude throughout the call.Asks probing questions and takes the opportunity to educate members to avoid unnecessary repeat calls.Investigates member complaints and performs front-line analysis and intervention when appropriate.Makes necessary outgoing phone calls to resolve member related inquiries.Meet or exceed department established key performance indicators.Adheres to assigned schedules to ensure appropriate phone queue coverage.Demonstrates strong written (e.g., documents calls accurately and comprehensively) and verbal skills.Employs active listening skills, demonstrates patience and empathy, and is able to handle difficult customers tactfully, courteously and professionally.Strives for improved efficiency for processing member issues. Interacts and forms contacts with other Point32Health departments in order to resolve issues.Participates in initiatives and/or responds to requests for help to contribute to team and department success.Assists in mentoring new staff as directed.Assist with department projects as needed. RequirementsWHAT YOU’LL NEED…EDUCATION:High School Diploma or equivalent required. Associates degree or equivalent work experience preferred.EXPERIENCE: 6-12 months of relevant experience.Preferred customer service experience in health care, call center or corporate office.Knowledge of medical terminology is preferred.Prior experience training and working in a virtual/remote setting is strongly preferred.SKILL REQUIREMENTS: Technical Skills:Must have strong computer and telephone multitasking skillsMust have the ability to navigates through multiple systemsAccuracy in data input and documentationProficiency with MS WindowsProficient keyboard skillsInterpersonal Skills:Excellent verbal and written communication skills are requiredStrong organizational skillsAbility to research and respond to a high volume of telephone inquiries in a consistent and professional mannerBasic math, grammar, and spelling are requiredAbility to work under pressure and with attention to changing prioritiesMust be able to work cooperatively as part of a team Bilingual preferred WORKING CONDITIONS AND ADDITIONAL REQUIREMENTS:Fast paced office environment handling multiple demands exercising appropriate judgment as necessary. Requires a high level of initiative and independence and communication skills sufficient to communicate verbally via telephone. Must adapt positively to changes related to work processes, department structure, environment, and technology.Involves simultaneous use of a telephone headset, and PC/keyboard for long periods of time in order to document and communicate efficiently. Requires long periods of sitting and occasional overtime may be requested.May require ability and willingness to work from home. CONFIDENTIAL DATA: All information (written, verbal, electronic, etc.) that an employee encounters while working at Point32Heal is considered confidential. Will be exposed to and required to deal with highly confidential and sensitive material and must adhere to corporate compliance policy and department guidelines/policies and all applicable laws and regulations at all times. What we build together changes our customer's health for the better. We are looking for talented and innovative people to join our team. Come join us!Please note: As of January 18, 2022, all employees — including remote employees — must be fully vaccinated. This position will require the successful candidate to show proof of full vaccination against COVID-19. Point32Health is an equal opportunity employer, and will consider reasonable accommodation to those individuals who are unable to be vaccinated consistent with federal, state, and local law.  About UsPoint32Health is a leading health and wellbeing organization, delivering an ever-better health care experience to everyone in our communities. Building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.At Point32Health, we’re working to reshape the world of health care by pushing past the status quo and delivering even more to the diverse communities we serve: more innovation, more access, more support, and healthier lives. And we want people like you on our side to make it even better.This job has been posted by TalentBoost on behalf of Point32Health. TalentBoost is committed to the fundamental principle of equal opportunity and equal treatment for every prospective and current employee. It is the policy of TalentBoost not to discriminate based on race, color, national or ethnic origin, ancestry, age, religion, creed, disability, sex and gender, sexual orientation, gender identity and/or expression, military or veteran status, or any other characteristic protected under applicable federal, state or local law.

Full Time
job-list-card-figure
Member Services Representative, HP Commercial
Point32Health
location-iconEverett MA

TRANSFORMING HEALTHCARE, ONE MEMBER AT A TIMERemote Position (must reside in MA, RI, NH, CT, ME)Full Time$19.00/hr. ($39,520 annually) + monthly incentives after trainingWHAT MAKES US STAND OUT…Here at Point32Health our member service representatives are the backbone of the company. Our members are taken care of everyday because of this. The value we place on our reps is at the highest level.PAID TRAINING (9/12 to 11/11 8:30am to 5:00pm Mon-Fri)Work-Life-Flexibility Paid volunteer time off (up to 3 days annually) Educational ReimbursementWHAT YOU’LL DO…Job SummaryUnder the general direction of the Call Center Supervisor, the Member Services Representative is responsible for providing accurate and thorough interpretation of Point32Health benefits, claims processes, eligibility, and enrollment policies to members, employers, and internal customers. In addition, the Member Services Representative is responsible for resolution of complex customer inquiries, the facilitation of problem resolution, and meeting or exceeding customers’ expectations. The Member Services Representative presents a consistent and professional demeanor to all callers and internal customers and is expected to identify opportunities to improve customer service and efficiency. The Member Services Representative is expected to take responsibility for every interaction with a customer by providing outstanding service as a means to build customer loyalty, improve customer retention, and satisfy corporate customer service goals and objectives. Job DescriptionReceives and responds to a high volume of incoming telephone calls from members, prospective members, employers, and internal Point32Health staff.Efficiently and effectively processes member calls. This includes:Accesses the most appropriate source of information and proficiently resolving the member’s concern.Accurately documents the complete encounter and maintains a professional and supportive attitude throughout the call.Asks probing questions and takes the opportunity to educate members to avoid unnecessary repeat calls.Investigates member complaints and performs front-line analysis and intervention when appropriate.Makes necessary outgoing phone calls to resolve member related inquiries.Meet or exceed department established key performance indicators.Adheres to assigned schedules to ensure appropriate phone queue coverage.Demonstrates strong written (e.g., documents calls accurately and comprehensively) and verbal skills.Employs active listening skills, demonstrates patience and empathy, and is able to handle difficult customers tactfully, courteously and professionally.Strives for improved efficiency for processing member issues. Interacts and forms contacts with other Point32Health departments in order to resolve issues.Participates in initiatives and/or responds to requests for help to contribute to team and department success.Assists in mentoring new staff as directed.Assist with department projects as needed. RequirementsWHAT YOU’LL NEED…EDUCATION:High School Diploma or equivalent required. Associates degree or equivalent work experience preferred.EXPERIENCE: 6-12 months of relevant experience.Preferred customer service experience in health care, call center or corporate office.Knowledge of medical terminology is preferred.Prior experience training and working in a virtual/remote setting is strongly preferred.SKILL REQUIREMENTS: Technical Skills:Must have strong computer and telephone multitasking skillsMust have the ability to navigates through multiple systemsAccuracy in data input and documentationProficiency with MS WindowsProficient keyboard skillsInterpersonal Skills:Excellent verbal and written communication skills are requiredStrong organizational skillsAbility to research and respond to a high volume of telephone inquiries in a consistent and professional mannerBasic math, grammar, and spelling are requiredAbility to work under pressure and with attention to changing prioritiesMust be able to work cooperatively as part of a team Bilingual preferred WORKING CONDITIONS AND ADDITIONAL REQUIREMENTS:Fast paced office environment handling multiple demands exercising appropriate judgment as necessary. Requires a high level of initiative and independence and communication skills sufficient to communicate verbally via telephone. Must adapt positively to changes related to work processes, department structure, environment, and technology.Involves simultaneous use of a telephone headset, and PC/keyboard for long periods of time in order to document and communicate efficiently. Requires long periods of sitting and occasional overtime may be requested.May require ability and willingness to work from home. CONFIDENTIAL DATA: All information (written, verbal, electronic, etc.) that an employee encounters while working at Point32Heal is considered confidential. Will be exposed to and required to deal with highly confidential and sensitive material and must adhere to corporate compliance policy and department guidelines/policies and all applicable laws and regulations at all times. What we build together changes our customer's health for the better. We are looking for talented and innovative people to join our team. Come join us!Please note: As of January 18, 2022, all employees — including remote employees — must be fully vaccinated. This position will require the successful candidate to show proof of full vaccination against COVID-19. Point32Health is an equal opportunity employer, and will consider reasonable accommodation to those individuals who are unable to be vaccinated consistent with federal, state, and local law.  About UsPoint32Health is a leading health and wellbeing organization, delivering an ever-better health care experience to everyone in our communities. Building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.At Point32Health, we’re working to reshape the world of health care by pushing past the status quo and delivering even more to the diverse communities we serve: more innovation, more access, more support, and healthier lives. And we want people like you on our side to make it even better.This job has been posted by TalentBoost on behalf of Point32Health. TalentBoost is committed to the fundamental principle of equal opportunity and equal treatment for every prospective and current employee. It is the policy of TalentBoost not to discriminate based on race, color, national or ethnic origin, ancestry, age, religion, creed, disability, sex and gender, sexual orientation, gender identity and/or expression, military or veteran status, or any other characteristic protected under applicable federal, state or local law.

Full Time
job-list-card-figure
Member Services Representative, Medicare THP
Point32Health
location-iconCambridge MA

TRANSFORMING HEALTHCARE, ONE MEMBER AT A TIMERemote Position (must reside in MA, RI, NH, CT, ME)Full Time$19.00/hr. ($39,520 annually) + monthly incentives after trainingWHAT MAKES US STAND OUT…Here at Point32Health our member service representatives are the backbone of the company. Our members are taken care of everyday because of this. The value we place on our reps is at the highest level.PAID TRAININGWork-Life-Flexibility Paid volunteer time off (up to 3 days annually) Educational ReimbursementWHAT YOU’LL DO…Job SummaryUnder the general direction of the Call Center Supervisor, the Member Services Representative is responsible for providing accurate and thorough interpretation of Point32Health benefits, claims processes, eligibility, and enrollment policies to members, employers, and internal customers. In addition, the Member Services Representative is responsible for resolution of complex customer inquiries, the facilitation of problem resolution, and meeting or exceeding customers’ expectations. The Member Services Representative presents a consistent and professional demeanor to all callers and internal customers and is expected to identify opportunities to improve customer service and efficiency. The Member Services Representative is expected to take responsibility for every interaction with a customer by providing outstanding service as a means to build customer loyalty, improve customer retention, and satisfy corporate customer service goals and objectives.Job DescriptionReceives and responds to a high volume of incoming telephone calls from members, prospective members, employers, and internal Point32Health staff.Efficiently and effectively processes member calls. This includes:Accesses the most appropriate source of information and proficiently resolving the member’s concern.Accurately documents the complete encounter and maintains a professional and supportive attitude throughout the call.Asks probing questions and takes the opportunity to educate members to avoid unnecessary repeat calls.Investigates member complaints and performs front-line analysis and intervention when appropriate.Makes necessary outgoing phone calls to resolve member related inquiries.Meet or exceed department established key performance indicators.Adheres to assigned schedules to ensure appropriate phone queue coverage.Demonstrates strong written (e.g., documents calls accurately and comprehensively) and verbal skills.Employs active listening skills, demonstrates patience and empathy, and is able to handle difficult customers tactfully, courteously and professionally.Strives for improved efficiency for processing member issues. Interacts and forms contacts with other Point32Health departments in order to resolve issues.Participates in initiatives and/or responds to requests for help to contribute to team and department success.Assists in mentoring new staff as directed.Assist with department projects as needed.RequirementsWHAT YOU’LL NEED…EDUCATION:High School Diploma or equivalent required. Associates degree or equivalent work experience preferred.EXPERIENCE: 6-12 months of relevant experience.Preferred customer service experience in health care, call center or corporate office.Knowledge of medical terminology is preferred.Prior experience training and working in a virtual/remote setting is strongly preferred.SKILL REQUIREMENTS: Technical Skills:Must have strong computer and telephone multitasking skillsMust have the ability to navigates through multiple systemsAccuracy in data input and documentationProficiency with MS WindowsProficient keyboard skillsInterpersonal Skills:Excellent verbal and written communication skills are requiredStrong organizational skillsAbility to research and respond to a high volume of telephone inquiries in a consistent and professional mannerBasic math, grammar, and spelling are requiredAbility to work under pressure and with attention to changing prioritiesMust be able to work cooperatively as part of a team Bilingual preferred WORKING CONDITIONS AND ADDITIONAL REQUIREMENTS:Fast paced office environment handling multiple demands exercising appropriate judgment as necessary. Requires a high level of initiative and independence and communication skills sufficient to communicate verbally via telephone. Must adapt positively to changes related to work processes, department structure, environment, and technology.Involves simultaneous use of a telephone headset, and PC/keyboard for long periods of time in order to document and communicate efficiently. Requires long periods of sitting and occasional overtime may be requested.May require ability and willingness to work from home.CONFIDENTIAL DATA: All information (written, verbal, electronic, etc.) that an employee encounters while working at Point32Heal is considered confidential. Will be exposed to and required to deal with highly confidential and sensitive material and must adhere to corporate compliance policy and department guidelines/policies and all applicable laws and regulations at all times.What we build together changes our customer's health for the better. We are looking for talented and innovative people to join our team. Come join us!Please note: As of January 18, 2022, all employees — including remote employees — must be fully vaccinated. This position will require the successful candidate to show proof of full vaccination against COVID-19. Point32Health is an equal opportunity employer, and will consider reasonable accommodation to those individuals who are unable to be vaccinated consistent with federal, state, and local law. About UsPoint32Health is a leading health and wellbeing organization, delivering an ever-better health care experience to everyone in our communities. Building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.At Point32Health, we’re working to reshape the world of health care by pushing past the status quo and delivering even more to the diverse communities we serve: more innovation, more access, more support, and healthier lives. And we want people like you on our side to make it even better.This job has been posted by TalentBoost on behalf of Point32Health. TalentBoost is committed to the fundamental principle of equal opportunity and equal treatment for every prospective and current employee. It is the policy of TalentBoost not to discriminate based on race, color, national or ethnic origin, ancestry, age, religion, creed, disability, sex and gender, sexual orientation, gender identity and/or expression, military or veteran status, or any other characteristic protected under applicable federal, state or local law.Req ID: R4947

Full Time
job-list-card-figure
Member Services Representative, HP Commercial
Point32Health
location-iconCambridge MA

TRANSFORMING HEALTHCARE, ONE MEMBER AT A TIMERemote Position (must reside in MA, RI, NH, CT, ME)Full Time$19.00/hr. ($39,520 annually) + monthly incentives after trainingWHAT MAKES US STAND OUT…Here at Point32Health our member service representatives are the backbone of the company. Our members are taken care of everyday because of this. The value we place on our reps is at the highest level.PAID TRAINING (9/12 to 11/11 8:30am to 5:00pm Mon-Fri)Work-Life-Flexibility Paid volunteer time off (up to 3 days annually) Educational ReimbursementWHAT YOU’LL DO…Job SummaryUnder the general direction of the Call Center Supervisor, the Member Services Representative is responsible for providing accurate and thorough interpretation of Point32Health benefits, claims processes, eligibility, and enrollment policies to members, employers, and internal customers. In addition, the Member Services Representative is responsible for resolution of complex customer inquiries, the facilitation of problem resolution, and meeting or exceeding customers’ expectations. The Member Services Representative presents a consistent and professional demeanor to all callers and internal customers and is expected to identify opportunities to improve customer service and efficiency. The Member Services Representative is expected to take responsibility for every interaction with a customer by providing outstanding service as a means to build customer loyalty, improve customer retention, and satisfy corporate customer service goals and objectives. Job DescriptionReceives and responds to a high volume of incoming telephone calls from members, prospective members, employers, and internal Point32Health staff.Efficiently and effectively processes member calls. This includes:Accesses the most appropriate source of information and proficiently resolving the member’s concern.Accurately documents the complete encounter and maintains a professional and supportive attitude throughout the call.Asks probing questions and takes the opportunity to educate members to avoid unnecessary repeat calls.Investigates member complaints and performs front-line analysis and intervention when appropriate.Makes necessary outgoing phone calls to resolve member related inquiries.Meet or exceed department established key performance indicators.Adheres to assigned schedules to ensure appropriate phone queue coverage.Demonstrates strong written (e.g., documents calls accurately and comprehensively) and verbal skills.Employs active listening skills, demonstrates patience and empathy, and is able to handle difficult customers tactfully, courteously and professionally.Strives for improved efficiency for processing member issues. Interacts and forms contacts with other Point32Health departments in order to resolve issues.Participates in initiatives and/or responds to requests for help to contribute to team and department success.Assists in mentoring new staff as directed.Assist with department projects as needed. RequirementsWHAT YOU’LL NEED…EDUCATION:High School Diploma or equivalent required. Associates degree or equivalent work experience preferred.EXPERIENCE: 6-12 months of relevant experience.Preferred customer service experience in health care, call center or corporate office.Knowledge of medical terminology is preferred.Prior experience training and working in a virtual/remote setting is strongly preferred.SKILL REQUIREMENTS: Technical Skills:Must have strong computer and telephone multitasking skillsMust have the ability to navigates through multiple systemsAccuracy in data input and documentationProficiency with MS WindowsProficient keyboard skillsInterpersonal Skills:Excellent verbal and written communication skills are requiredStrong organizational skillsAbility to research and respond to a high volume of telephone inquiries in a consistent and professional mannerBasic math, grammar, and spelling are requiredAbility to work under pressure and with attention to changing prioritiesMust be able to work cooperatively as part of a team Bilingual preferred WORKING CONDITIONS AND ADDITIONAL REQUIREMENTS:Fast paced office environment handling multiple demands exercising appropriate judgment as necessary. Requires a high level of initiative and independence and communication skills sufficient to communicate verbally via telephone. Must adapt positively to changes related to work processes, department structure, environment, and technology.Involves simultaneous use of a telephone headset, and PC/keyboard for long periods of time in order to document and communicate efficiently. Requires long periods of sitting and occasional overtime may be requested.May require ability and willingness to work from home. CONFIDENTIAL DATA: All information (written, verbal, electronic, etc.) that an employee encounters while working at Point32Heal is considered confidential. Will be exposed to and required to deal with highly confidential and sensitive material and must adhere to corporate compliance policy and department guidelines/policies and all applicable laws and regulations at all times. What we build together changes our customer's health for the better. We are looking for talented and innovative people to join our team. Come join us!Please note: As of January 18, 2022, all employees — including remote employees — must be fully vaccinated. This position will require the successful candidate to show proof of full vaccination against COVID-19. Point32Health is an equal opportunity employer, and will consider reasonable accommodation to those individuals who are unable to be vaccinated consistent with federal, state, and local law.  About UsPoint32Health is a leading health and wellbeing organization, delivering an ever-better health care experience to everyone in our communities. Building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.At Point32Health, we’re working to reshape the world of health care by pushing past the status quo and delivering even more to the diverse communities we serve: more innovation, more access, more support, and healthier lives. And we want people like you on our side to make it even better.This job has been posted by TalentBoost on behalf of Point32Health. TalentBoost is committed to the fundamental principle of equal opportunity and equal treatment for every prospective and current employee. It is the policy of TalentBoost not to discriminate based on race, color, national or ethnic origin, ancestry, age, religion, creed, disability, sex and gender, sexual orientation, gender identity and/or expression, military or veteran status, or any other characteristic protected under applicable federal, state or local law.

Full Time
job-list-card-figure
Member Services Representative, Medcaid
Point32Health
location-iconQuincy MA

TRANSFORMING HEALTHCARE, ONE MEMBER AT A TIMERemote Position (must reside in MA, RI, NH, CT, ME)Full Time$19.00/hr. ($39,520 annually) + monthly incentives after trainingWHAT MAKES US STAND OUT…Here at Point32Health our member service representatives are the backbone of the company. Our members are taken care of everyday because of this. The value we place on our reps is at the highest level.PAID 5-WEEK TRAININGWork-Life-Flexibility Paid volunteer time off (up to 3 days annually) Educational ReimbursementWHAT YOU’LL DO…Job SummaryUnder the general direction of the Call Center Supervisor, the Member Services Representative is responsible for providing accurate and thorough interpretation of Point32Health benefits, claims processes, eligibility, and enrollment policies to members, employers, and internal customers. In addition, the Member Services Representative is responsible for resolution of complex customer inquiries, the facilitation of problem resolution, and meeting or exceeding customers’ expectations. The Member Services Representative presents a consistent and professional demeanor to all callers and internal customers and is expected to identify opportunities to improve customer service and efficiency. The Member Services Representative is expected to take responsibility for every interaction with a customer by providing outstanding service as a means to build customer loyalty, improve customer retention, and satisfy corporate customer service goals and objectives.Job DescriptionReceives and responds to a high volume of incoming telephone calls from members, prospective members, employers, and internal Point32Health staff.Efficiently and effectively processes member calls. This includes:Accesses the most appropriate source of information and proficiently resolving the member’s concern.Accurately documents the complete encounter and maintains a professional and supportive attitude throughout the call.Asks probing questions and takes the opportunity to educate members to avoid unnecessary repeat calls.Investigates member complaints and performs front-line analysis and intervention when appropriate.Makes necessary outgoing phone calls to resolve member related inquiries.Meet or exceed department established key performance indicators.Adheres to assigned schedules to ensure appropriate phone queue coverage.Demonstrates strong written (e.g., documents calls accurately and comprehensively) and verbal skills.Employs active listening skills, demonstrates patience and empathy, and is able to handle difficult customers tactfully, courteously and professionally.Strives for improved efficiency for processing member issues. Interacts and forms contacts with other Point32Health departments in order to resolve issues.Participates in initiatives and/or responds to requests for help to contribute to team and department success.Assists in mentoring new staff as directed.Assist with department projects as needed. Requirements WHAT YOU’LL NEED…EDUCATION:High School Diploma or equivalent required. Associates degree or equivalent work experience preferred. EXPERIENCE: 6-12 months of relevant experience.Preferred customer service experience in health care, call center or corporate office.Knowledge of medical terminology is preferred.Prior experience training and working in a virtual/remote setting is strongly preferred. SKILL REQUIREMENTS: Technical Skills:Must have strong computer and telephone multitasking skillsMust have the ability to navigates through multiple systemsAccuracy in data input and documentationProficiency with MS WindowsProficient keyboard skills Interpersonal Skills:Excellent verbal and written communication skills are requiredStrong organizational skillsAbility to research and respond to a high volume of telephone inquiries in a consistent and professional mannerBasic math, grammar, and spelling are requiredAbility to work under pressure and with attention to changing prioritiesMust be able to work cooperatively as part of a team Bilingual preferred  WORKING CONDITIONS AND ADDITIONAL REQUIREMENTS:Fast paced office environment handling multiple demands exercising appropriate judgment as necessary. Requires a high level of initiative and independence and communication skills sufficient to communicate verbally via telephone. Must adapt positively to changes related to work processes, department structure, environment, and technology.Involves simultaneous use of a telephone headset, and PC/keyboard for long periods of time in order to document and communicate efficiently. Requires long periods of sitting and occasional overtime may be requested.May require ability and willingness to work from home.CONFIDENTIAL DATA: All information (written, verbal, electronic, etc.) that an employee encounters while working at Point32Heal is considered confidential. Will be exposed to and required to deal with highly confidential and sensitive material and must adhere to corporate compliance policy and department guidelines/policies and all applicable laws and regulations at all times.What we build together changes our customer's health for the better. We are looking for talented and innovative people to join our team. Come join us!Please note: As of January 18, 2022, all employees — including remote employees — must be fully vaccinated. This position will require the successful candidate to show proof of full vaccination against COVID-19. Point32Health is an equal opportunity employer, and will consider reasonable accommodation to those individuals who are unable to be vaccinated consistent with federal, state, and local law.About Us:Point32Health is a leading health and wellbeing organization, delivering an ever-better health care experience to everyone in our communities. Building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.At Point32Health, we’re working to reshape the world of health care by pushing past the status quo and delivering even more to the diverse communities we serve: more innovation, more access, more support, and healthier lives. And we want people like you on our side to make it even better.This job has been posted by TalentBoost on behalf of Point32Health. TalentBoost is committed to the fundamental principle of equal opportunity and equal treatment for every prospective and current employee. It is the policy of TalentBoost not to discriminate based on race, color, national or ethnic origin, ancestry, age, religion, creed, disability, sex and gender, sexual orientation, gender identity and/or expression, military or veteran status, or any other characteristic protected under applicable federal, state or local law.Req ID: 4946

Full Time
job-detail-figure
Customer Service Representative (BOS Airport)
share-icon
Full Time
location-iconBoston MA
Job Description
HIRING IMMEDIATELY- $1,000 sign on bonus

Uncapped commission
Uncapped monthly commission. Top sellers have earned upwards of $5,500 per month. Commission amounts are based on personal sales and are paid out monthly.
Competitive hourly base rate of $16.25 / hour

CLEAR Sales Representatives work at the airport to securely verify current members and enroll new prospective members. Check out a day in the life at CLEAR here: https://tinyurl.com/rmsep534

At CLEAR, we love what we do and we're obsessed with our members! Our Sales Representatives make magic happen every day, creating frictionless experiences.

Perks of Being a Team Member at CLEAR!

Uncapped commission
Competitive hourly rate of $16.25 / hour
15 days Paid Time Off for Full Time Team Members, increasing with time in service
11 Company Paid Holidays (1.5x pay if worked!)
Comprehensive Medical, Dental, Vision, Pet, Home, Auto, Disability, Life Insurance and Legal advice for eligible team members
Commuter Benefits & Parking subsidy
Free Uniform + shoes
Backup childcare and elder care through Care.com
Paid Parental, Family, Military & Bereavement Leave Program for eligible team members
Emotional Well Being Assistance
401k Retirement Plan with company match
Ongoing training & development programs to grow & advance your career with a growing company!
Free CLEAR memberships for you and one other. Plus a discounted membership for three friends!

What is a CLEAR Sales Representative?

What you will do - Security, Service and Sales as a Brand Ambassador for CLEAR

Consistently demonstrate adherence to security procedures by validating airline documents, verifying CLEAR member traveler identification and following documented security protocols
Exceptional customer-service-focused communication skills and the ability to engage with potential customers, general travelers, and members alike
Drive membership enrollments by engaging travelers and selling them the benefits of CLEAR
Comply with all security and safety guidelines, policies and procedures at all times
You will be walking through our CLEAR lanes and around the airport in order to assist our members and passengers

Who You Are

Positive and energetic attitude
Self-motivated achiever interested in taking on additional responsibilities, and selling CLEAR!
Ability to work in a fast-paced, high-volume, hospitality-driven atmosphere
Previous sales and/or customer service experience, a plus – we'll teach you the rest!
Open availability and flexibility is a must – ability to work a variety of shifts
Ability to stand for up to 8 hours per day
You must be 18 years of age or older

About CLEAR:

With CLEAR, you are always you. CLEAR's mission is to enable frictionless and safe journeys using your identity. With more than 10 million members and 100+ partners across North America, CLEAR's identity platform connects you to the cards in your wallet - transforming the way you live, work and travel. Trust and privacy are the foundation of CLEAR. We have a commitment to members being in control of their own information and never sell member data. CLEAR is at the highest level of security by U.S. government regulators and is also certified as Qualified Anti-Terrorism Technology under the SAFETY Act.

CLEAR is an equal opportunity employer and does not discriminate based upon race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender, gender identity, gender expression, transgender status, sexual stereotypes, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
job-detail-figure
Customer Service Representative (BOS Airport)
share-icon
Full Time
location-iconBoston MA
Job Description
HIRING IMMEDIATELY- $1,000 sign on bonus

Uncapped commission
Uncapped monthly commission. Top sellers have earned upwards of $5,500 per month. Commission amounts are based on personal sales and are paid out monthly.
Competitive hourly base rate of $16.25 / hour

CLEAR Sales Representatives work at the airport to securely verify current members and enroll new prospective members. Check out a day in the life at CLEAR here: https://tinyurl.com/rmsep534

At CLEAR, we love what we do and we're obsessed with our members! Our Sales Representatives make magic happen every day, creating frictionless experiences.

Perks of Being a Team Member at CLEAR!

Uncapped commission
Competitive hourly rate of $16.25 / hour
15 days Paid Time Off for Full Time Team Members, increasing with time in service
11 Company Paid Holidays (1.5x pay if worked!)
Comprehensive Medical, Dental, Vision, Pet, Home, Auto, Disability, Life Insurance and Legal advice for eligible team members
Commuter Benefits & Parking subsidy
Free Uniform + shoes
Backup childcare and elder care through Care.com
Paid Parental, Family, Military & Bereavement Leave Program for eligible team members
Emotional Well Being Assistance
401k Retirement Plan with company match
Ongoing training & development programs to grow & advance your career with a growing company!
Free CLEAR memberships for you and one other. Plus a discounted membership for three friends!

What is a CLEAR Sales Representative?

What you will do - Security, Service and Sales as a Brand Ambassador for CLEAR

Consistently demonstrate adherence to security procedures by validating airline documents, verifying CLEAR member traveler identification and following documented security protocols
Exceptional customer-service-focused communication skills and the ability to engage with potential customers, general travelers, and members alike
Drive membership enrollments by engaging travelers and selling them the benefits of CLEAR
Comply with all security and safety guidelines, policies and procedures at all times
You will be walking through our CLEAR lanes and around the airport in order to assist our members and passengers

Who You Are

Positive and energetic attitude
Self-motivated achiever interested in taking on additional responsibilities, and selling CLEAR!
Ability to work in a fast-paced, high-volume, hospitality-driven atmosphere
Previous sales and/or customer service experience, a plus – we'll teach you the rest!
Open availability and flexibility is a must – ability to work a variety of shifts
Ability to stand for up to 8 hours per day
You must be 18 years of age or older

About CLEAR:

With CLEAR, you are always you. CLEAR's mission is to enable frictionless and safe journeys using your identity. With more than 10 million members and 100+ partners across North America, CLEAR's identity platform connects you to the cards in your wallet - transforming the way you live, work and travel. Trust and privacy are the foundation of CLEAR. We have a commitment to members being in control of their own information and never sell member data. CLEAR is at the highest level of security by U.S. government regulators and is also certified as Qualified Anti-Terrorism Technology under the SAFETY Act.

CLEAR is an equal opportunity employer and does not discriminate based upon race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender, gender identity, gender expression, transgender status, sexual stereotypes, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.