Member Services Representative, Sr. addresses more complex health plan or HMO 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 and written requests. Being a Member Services Representative, Sr. provides available information upon request and researches or escalates issues as appropriate. Maintains confidentiality per HIPAA guidelines. Additionally, Member Services Representative, Sr. requires a high school diploma or equivalent. Typically reports to a supervisor or manager. The Member Services Representative, Sr. works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be a Member Services Representative, Sr. typically requires 3-5 years of related experience. (Copyright 2024 Salary.com)
Job Summary:
Assists the Branch Operations Manager in all phases of the Branch operations, while displaying a personal example of excellence in all aspects of the position.
Essential Duties and Responsibilities:
Minimum Qualifications and Competencies:
Education and Work Experience:
Job Type: Part-time
Pay: $16.00 - $18.00 per hour
Expected hours: 30 – 40 per week
Benefits:
Shift:
Weekly day range:
People with a criminal record are encouraged to apply
Work Location: In person
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