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
Hours vary depending on doctors’ schedules; Must be available Monday through Friday. Opening and closing shifts rotate. *Overtime may be required. Must be willing to travel to our different clinic locations if needed.
Job Responsibilities:
Benefits:
As a team member at The Eye Associates, you'll enjoy:
Requirements
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