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)
SUMMARY: The PAS Supervisor is responsible for Quality Assurance of services provided in the home as well as relationship management of clients and PCAs for quality purposes. The PAS Supervisor works closely with the Administrator/Alt. Administrator in organizing and coordinating functions of the program, delegating duties, and establishing formal means of accountability on part of the PAS attendant field staff.
Duties and Responsibilities:
Supervisory Responsibility:
Supervise Personal Care Attendants in the Primary Homecare Program
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0 Member Services Supervisor jobs found in Harlingen, TX area