Member Services Representative: $1,000 Sign-On Bonus!

Customer Service/Insurance Services Dubuque, Iowa Job Closes: 09/30/2021


If you are looking for a customer service based position that has a variety of clerical duties, offers a flexible schedule, and the opportunity to work from home if desired, your search is over!

Medical Associates Health Plans is looking for a full-time Member Services Representative to join our team!

$1,000 sign-on bonus for new hires who apply between now and 9/30/2021!

Who You Are:

  • Dedicated to providing superior customer service
  • Able to adapt to various customers and their needs
  • Have excellent verbal communication
  • Comfortable learning and navigating various computer programs and phone queues
  • Excited to work closely with team members in a fast-paced environment

Work Schedule: Monday through Friday, 8:00am to 5:00pm for training period. Opportunity for work from home after training if desired!

Location: Position is located at Medical Associates Health Plans, 1605 Associates Drive.

Competitive pay with benefits package worth $20,000!

Full Benefits Include:

  • Health Insurance and Dental Coverage
  • 401k, Profit Sharing Plan
  • Medical & Dependent Care Flex Spending Accounts
  • Vacation Paid Time Off (accrue up to 14 days/year)
  • Sick Paid Time/Short Term Disability
  • Holiday Pay (six holidays)

What You'll Be Doing:

  • Respond to phone, in-person, written or e-mail inquiries from members, employers, brokers, providers, pharmacies as well as internal customers, in accordance with department standards. Perform research on inquiries and resolve; educate members on benefits, Explanation of Benefit forms, the use of the website and other tools and documents utilized by members.
  • Possess knowledge and ability to communicate to internal and external customers regarding benefit plans, including medical, prescription drug and other employee benefit plans offered
  • Interpret and enter necessary data and documentation into member and authorization subsystems of core business processing system as necessary to support the member services department; possess knowledge to examine, process, calculate and administer claims according to internal processing guidelines.
  • Assist in review and resolution of complaints, appeals and grievances as needed.
  • Complete all additional assigned projects and duties.
Knowledge, Skills and Abilities:
Experience: One to three years of similar or related experience.

Education: High school diploma or GED required.

Other Skills: Excellent telephone presence. Familiar with Microsoft Office applications, particularly Word and Excel. 

As a healthcare organization, we adhere to applicable CDC and OSHA guidelines regarding the use of masking and social distancing.

Physical Aspects:

Stooping - Bending body downward and forward by bending spine at the waist. This factor is important if it occurs to a considerable degree and requires full use of the lower extremities and back muscles.

Reaching - Extending hand(s) and arm(s) in any direction.

Lifting - Raising objects from a lower to a higher position or moving objects horizontally from position-to-position. This factor is important if it occurs to a considerable degree and requires the substantial use of the upper extremities and back muscles.

Fingering - Picking, pinching, typing or otherwise working, primarily with fingers rather than with the whole hand or arm as in handling.

Grasping - Applying pressure to an object with the fingers and palm.

Talking - Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to other workers accurately, loudly or quickly.

Hearing - Perceiving the nature of sound with or without correction. Ability to receive detailed information through oral communication and to make fine discriminations in sound, such as when making fine adjustments on machined parts.

Vision - 20 / 40 or better in the best eye with or without correction.

Repetitive Motions - Substantial movements (motions) of the wrists, hands and/or fingers.

Sedentary Work - Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

Environmental Conditions: None - The worker is not substantially exposed to adverse environmental conditions (such as in typical office or administrative work).

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities.

Please view Equal Employment Opportunity Posters provided by OFCCP here.