Member Services Representative addresses member inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. Responsible for receiving, responding to, and directing member phone calls, or written questions. Being a Member Services Representative provides available information upon request and researches or escalates issues as appropriate. Maintains confidentiality per HIPAA guidelines. Additionally, Member Services Representative requires a high school diploma or equivalent. Typically reports to a supervisor or manager. The Member Services Representative works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Member Services Representative typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)
Description
The Registrar provides patient registration services including patient interview, preparation of registration forms and other admission or transfer related requirements. Creating a positive customer service environment, the Registrar assists with insurance verification, collections of identified amounts due and pre-certification through collaboration with Clinic providers, Clinic Manager and other departments to ensure comprehensive processing and continuum of care.
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