The Member Operations Representative I (MOR I) is responsible for informing and educating Virginia Premier Health Plan Inc. (VPHP) members on how to properly use the medical services available to them. The MOR I will handle and document all member inquiries, schedule transportation requests, verify eligibility and make necessary referrals for an appropriate resolution. The MOR I will also be responsible for data entry to enter enrollment, referral and insurance information for VPHP membership population.
As a managed care organization, the areas within Member Services play a major role for our members. Our ability to enroll and then welcome our members, secure their information, answer questions, assign primary care Physician’s and provide transportation to and from appointments is critical to the health and lives of our members.
MINIMUM EDUCATION REQUIREMENTS
Virginia Premier Health Plan, Inc. is a managed care organization which began as a full-service Medicaid MCO in 1995. Partnered with VCU Medical Systems we strive to meet the needs of the underserved and vulnerable populations in Virginia by delivering quality driven, culturally sensitive and financially viable Medicare and Medicaid healthcare programs. Headquartered in Richmond, VA we also have offices in Roanoke, Tidewater and Bristol with additional satellite locations allowing us to serve over 200,000 members across eighty counties throughout Virginia.
We offer competitive salaries and a comprehensive benefits package to include excellent Medical, Dental and Vision Plans, Tuition Assistance, Infant-At-Work Program, Remote Work options and generous vacation and sick leave policies. Our culture supports an environment where employees can continuously learn and gain professional growth through various development programs, education, exciting projects and career mobility.
Our mission is to inspire healthy living within the communities we serve!