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)
Description
Member Services Representative
Company Profile
Company recognizes that their employees are their most valuable asset in helping to deliver value to their members. That’s why they strive to show employee appreciation through excellent benefits, competitive pay, and opportunities for career advancement and professional development.
What's in it for you?
Elwood Staffing associates are eligible for a comprehensive and competitive benefits package plus an exclusive savings program, including :
Member Services Representative Details :
Will process member requests and transactions, such as deposits, withdrawals, transfers and other duties as assigned.
Member Services Representative Qualifications :
We will consider your age at the time of the offense, when the offense occurred, the seriousness and the nature of the offense, as well as any rehabilitation to determine your employability.
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