Member Services Representative, Sr. jobs in Raleigh, NC

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)

E
Director, Patient Access Services
  • ECU Health Phys Team Member
  • Greenville, NC FULL_TIME
  • ECU Health

    About ECU Health

    ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not-for-profit system is comprised of 13,000 team members, nine hospitals and a physician group that encompasses over 1,100 academic and community providers practicing in over 180 primary and specialty clinics located in more than 130 locations.

    The flagship ECU Health Medical Center, a Level I Trauma Center, and ECU Health Maynard Children's Hospital serve as the primary teaching hospitals for the Brody School of Medicine at East Carolina University. ECU Health and the Brody School of Medicine share a combined academic mission to improve the health and well-being of eastern North Carolina through patient care, education and research.

    Position Summary

    Responsibility, accountability and decision-making authority for facilitating the implementation of systems, programs and strategic initiatives that advance Patient Access Services capability for designated ECU Health hospital or ECU Health Medical Group's (ECUHMG) ambulatory clinics that are aligned with ECU Health's access system across the continuum, mission, and strategic objectives. Provides input for the function goals and strategies. Develops and aligns strategies, initiatives, supporting infrastructure, and budgets that enable function to achieve results that align with established goals to create and sustain operational excellence. Communicates department objectives to staff to ensure understanding of goals and their alignment. Oversees department initiatives and operations, including staff, budget, and vendor management. Measures effectiveness and take steps to ensure continuous improvement of department performance. Facilitates change to advance the organization and uses resources and operational practices to drive execution of plans. Ensures that policies, procedures and practices are followed to support a safety culture, evidence based care, high reliability, performance improvement and transparency. Accountable for a positive organizational culture in decision making and performance management to influence work attitudes and enhance job satisfaction. Member of entity management teams and functions as a key liaison between the leadership teams, staff and physician partners of the health care facility and programs.

    Minimum Requirements

    Requirements

    • Bachelor's Degree or higher
    • Five to seven years related experience

    Preferred Requirements

    Master's Degree

    Other Information

    General Statement

    It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.

    Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.

    We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicant's qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.

    Contact Information

    For additional information, please contact:

    Tara Gray, Talent Acquisition Manager

    ECU Health Talent Acquisition

    Email: Tara.Gray@ecuhealth.org

  • Just Posted

R
Member Services Representative
  • ROCKY MOUNT FAMILY YMCA INC
  • ROCKY MOUNT, NC OTHER
  • Job Details Job Location: ROCKY MOUNT FAMILY YMCA, INC. - ROCKY MOUNT, NC Position Type: Part Time Salary Range: Undisclosed DescriptionJob Title: Member Services Representative Status: P/T, hours var...
  • 21 Days Ago

P
Member Services Representative Seasonal
  • Planet Fitness - Excel Fitness
  • Fuquay Varina, NC PART_TIME
  • Looking to pick up extra hours? Join our team! As a Seasonal Member Service Representative, you will have flexibility in your schedule, as you provide the team added support when needed! We are Excel ...
  • Just Posted

P
Member Services Representative Sub
  • Planet Fitness - Excel Fitness
  • Garner, NC PART_TIME
  • Looking to pick up extra hours? Join our team! As a Member Service Representative Sub, you will have flexibility in your schedule, as you provide the team added support when needed! We are Excel Fitne...
  • Just Posted

P
Member Services Representative
  • Planet Fitness - Excel Fitness
  • Rocky, NC PART_TIME
  • Grow with us! We’re Excel Fitness, a Planet Fitness franchise group based out of Austin, TX with 80 clubs and growing! Since 2016, we have grown from 16 locations in TX to over 80 locations in 6 state...
  • Just Posted

P
Member Services Representative Sub
  • Planet Fitness - Excel Fitness
  • Rocky, NC PART_TIME
  • Looking to pick up extra hours? Join our team! As a Member Service Representative Sub, you will have flexibility in your schedule, as you provide the team added support when needed! We are Excel Fitne...
  • Just Posted

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Member Services Representative, Sr. jobs found in Raleigh, NC area

P
Member Services Representative
  • Planet Fitness Inc.
  • Knightdale, NC
  • Grow with us! We're Excel Fitness, a Planet Fitness franchise group based out of Austin, TX with 90+ clubs and growing! ...
  • 4/26/2024 12:00:00 AM

E
Member Services Representative
  • Excel Fitness
  • Dunn, NC
  • Position: Member Services Representative - Front Desk Reports to: General Manager (GM)/ Assistant Manager (AM) / Shift L...
  • 4/26/2024 12:00:00 AM

P
Member Services Representative
  • Planet Fitness
  • Kipling, NC
  • Job Summary The Member Services Representative will be responsible for creating a positive member experience by providin...
  • 4/26/2024 12:00:00 AM

P
Member Services Representative Overnight
  • Planet Fitness Inc.
  • Knightdale, NC
  • Grow with us! We are Excel Fitness, a Planet Fitness franchise group based out of Austin, TX with 130+ clubs and growing...
  • 4/26/2024 12:00:00 AM

S
Part Time Teller / Member Service Representative
  • Self Help
  • Durham, NC
  • ** Part Time Teller / Member Service Representative** **Job Category****:** Branch **Requisition Number****:** PARTT0018...
  • 4/24/2024 12:00:00 AM

E
Member Services Representative
  • Excel Fitness
  • Wake Forest, NC
  • Grow with us! In one to two years, you could be earning $50k a year with Planet Fitness! We're Excel Fitness, a Planet F...
  • 4/23/2024 12:00:00 AM

E
Member Services Representative - Front Desk
  • Excel Fitness
  • Cary, NC
  • Position: Member Services Representative - Front Desk Reports to: General Manager (GM)/ Assistant Manager (AM) / Shift L...
  • 4/23/2024 12:00:00 AM

E
Shift Leader
  • Excel Fitness
  • Garner, NC
  • Position: Shift Lead Reports to: General Manager (GM)/Assistant Manager (AM) Department: Operations Purpose: Help club m...
  • 4/22/2024 12:00:00 AM

According to the United States Census Bureau, Raleigh occupies a total area of 144.0 square miles (373.0 km2), of which 142 square miles (369 km2) is land and 0.97 square miles (2.5 km2), or 0.76%, is covered by water. The Neuse River flows through the northeast end of the city. Raleigh is located in the northeast central region of North Carolina, where the Piedmont and Atlantic Coastal Plain regions meet. This area is known as the "fall line" because it marks the elevation inland at which waterfalls begin to appear in creeks and rivers. As a result, most of Raleigh features gently rolling hil...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Member Services Representative, Sr. jobs
$46,350 to $57,993
Raleigh, North Carolina area prices
were up 1.5% from a year ago

Member Services Representative, Sr. in Memphis, TN
The Member Service Representative (MSR) provides a high standard of financial service to existing and potential members, processing transactions and building relationships while promoting the products and services of the credit union.
December 24, 2019
Member Services Representative, Sr. in Manchester, NH
Customer Service Representatives interface with customers via inbound calls and/or the Internet for the purpose of resolving routine problems with products or services, specifically insurance plans.
February 13, 2020
Delivers best service possible to members when they have requests or queries, always looking for ways to improve our service to them.
January 15, 2020
Member Services Representative, Sr. in Killeen, TX
Provides such member services as opening new accounts, ordering checks, ATM maintenance, corrections, etc.
February 23, 2020