• Answer all daily telephone calls from members, providers, health plans, insurance brokers, collection agents and hospitals • Collect Elicit information from members/providers including the problem or concerns and provide general status information • Verify authorization, claims, eligibility, and status only • All calls carefully documented into Company’s customer service module & NMM Queue system • Member/Provider Service/Representative assists Supervisor and Manager with other duties as assigned • Member outreach communications via mail or telephone • Assist Member appointment with providers • Resolve walk-in member concerns • Able to provide quality service to the customers • Able to communicate effectively with customers in a professional and respectful manner • Maintain strictest confidentiality at all times • Specialist termination notifications sent to members • Urgent Medicare Authorization Approval – Notification to Medicare members • Transportation arrangement for Medicare & Medi-Cal members • Outreach Project Assignments • Assist Case Management on CCS – age in 21 years for change of PCP from Pediatrics to FP/IM • Assist Marketing on email inquiries • Resolve walk in members concerns • Voice mail – return calls back to callers • Other duties as assigned