Member Service Representative

Location: Central Medical

Department: Staff

Job Description:

The Member Services Specialist responds to large volume of calls regarding patient care needs by scheduling appointments, directing the member to the appropriate level of care, taking messages, and answering general questions. Provides support for daily overall operation of business office as directed while promoting the well-being of all people of S. NM through community health and social services.

Job Requirements:

Ability to handle multiple calls in prescribed time period. Ability to maintain effective working relationships with all employees and department needs and direct patient complaints or suggestions with tact and diplomacy. Self-initiating and adaptable with an ability to communicate to a variety of staff members and with the public. Must possess excellent oral communication skills. Must display ability to apply understanding to carry out instructions furnished in written, oral, or diagram form. Must have the ability to deal with problems involving several concrete variables in standardized situations while maintaining a positive outlook. Must have high attention to detail. Knowledge of multiple health plans programs and alternative patient sources. Ability to effectively present information on the phone to customers, members, and other employees in the organization in Spanish and English. Equipment that may be used in this position: Multi line Phone system and computer.Must possess valid NM drivers license and current automobile insurance.Must be able to perform the essential functions of this position with or without reasonable accommodation.Bilingual English/Spanish preferred. Must be willing to use personal vehicle in the course of employment.


Health Insurance - PPO
Dental Insurance
Vision Insurance
401(K) with employer matching
Life and AD&D Insurance
Short Term Disability
Long Term Disability
Supplement Life Insurance
Paid Time Off (PTO)
Holidays (9)
Education Reimbursement
Cafeteria Plan
Employee Assistance Program
Travel Reimbursement