Member Services Supervisor supervises a group of member services representatives that address 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 researching more complex questions, investigating the cause of the issue, and responding to members on escalated issues. Being a Member Services Supervisor assists with hiring, training, ongoing monitoring and QA, performance evaluations and any corrective actions of member services representatives. Requires a high school diploma or its equivalent. Additionally, Member Services Supervisor typically reports to a manager. The Member Services Supervisor supervises a small group of para-professional staff in an organization characterized by highly transactional or repetitive processes. Contributes to the development of processes and procedures. Thorough knowledge of functional area under supervision. To be a Member Services Supervisor typically requires 3 years experience in the related area as an individual contributor. (Copyright 2024 Salary.com)
Employment Services Program Supervisor
Requisition #: req12864
Location: Grand Rapids, MI
Hours: Full-time (40 Hours/Week)
Bethany is changing the world through family. We began our work by serving one child more than 75 years ago. Today, Bethany is an international Christian nonprofit partnering with communities in more than 30 states and in several countries around the world. We strengthen and preserve families, support displaced people fleeing danger, and find safe, loving families for children who need them. Bethany is at the forefront of creating and implementing solutions to meet the growing needs of vulnerable children and families in the U.S. and around the world.
As a Social Work Supervisor, you will be primarily responsible for overseeing the operations of the assigned program and staff in partnership with leadership. This individual is also responsible for developing, maintaining, and enhancing positive work relationships with referral sources, state and federal agencies, volunteer and community agencies, employers, and individuals.
This position is expected to function effectively with little supervision while following the guidelines given on procedures, along with agency, federal, and state regulatory requirements.
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0 Member Services Supervisor jobs found in Grand Rapids, MI area