Call Center Service Reps – Hybrid/Remote! Training! Benefits! Career Path! $20.50/hr

Fallon Health is a respected leader in the healthcare services industry, founded in 1977. The organization is known for its innovative health insurance solutions along with a wide variety of Medicaid and Medicare products. Fallon Health specializes in creating unique healthcare programs and services that provide coordinated and integrated care primarily for seniors and individuals with complex health needs. The company has consistently been recognized among the nation's top health plans and is the only health plan in Massachusetts to have received the prestigious "Excellent" accreditation by the National Committee for Quality Assurance for its HMO, Medicare Advantage, and Medicaid products. Fallon Health is committed to supporting the diverse and evolving needs of those it serves, emphasizing quality, accessibility, and comprehensive care.

The company offers a fantastic career opportunity with its Member Services team, where members and providers receive critical support and guidance regarding Fallon Health's products, services, and policies. The team serves as the face of the organization, acting as trusted ambassadors and advocates for members, helping them navigate inquiries and troubleshooting issues effectively. Joining Fallon Health as a Member Services Representative means becoming part of an expanding, dynamic organization during a period of growth with new services and products being introduced. The role is especially exciting as it offers remote work possibilities after completing approximately 8-9 weeks of on-site training in Worcester, MA. It requires at least 25 words per minute typing proficiency and offers a competitive pay rate of $20.50 per hour, in compliance with the Massachusetts Wage Transparency Act.

As a Member Services Representative, you are entrusted with the critical task of responding to member and provider inquiries through Fallon Health's 1-800 numbers, delivering exceptional customer service by providing direction on policies, procedures, and benefits. This role demands ownership and accountability for developing the necessary knowledge and skills, enhanced through a comprehensive skill-based training program. You will be the primary liaison facilitating members' access to valuable information and assistance, ensuring high customer satisfaction by addressing their concerns under the framework of corporate policies. This role also involves identifying service trends, documenting interactions accurately, and escalating issues when needed.

Beyond the immediate responsibilities, Fallon Health provides an excellent platform for career progression. The Member Services team acts as a launchpad for growth within the organization with opportunities to advance into areas including Sales and Marketing, Provider Relations, Care Services, Pharmacy, and other operational functions. The company fosters professional development with blended learning curriculums and personalized coaching plans, encouraging continuous skill enhancement and career advancement. The environment is collaborative and inclusive, offering an equal opportunity workplace free from discrimination of any kind. Fallon Health values passion, initiative, and dedication, making it a perfect place for individuals seeking meaningful work in healthcare and long-term career growth.