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)
Description
I. POSITION PURPOSE
Supervises the assigned staff at the PRTF and/or Residential Treatment Services. Promotes the well-being of children in the Residential and Treatment Services in Kansas, participates in staff meetings and trainings and coordinates with staff from other agencies involved in providing treatment services. Performs the following duties directly or through subordinates.
II. NATURE AND SCOPE OF RESPONSIBILITIES include the following. Other duties may be assigned.
SUPERVISION:
III. EDUCATION, EXPERIENCE AND OTHER QUALIFICATIONS
EDUCATION AND/OR EXPERIENCE:
PRESENTATION SKILLS:
FINANCIAL/COMPUTATIVE SKILLS:
ANALYTICAL ABILITY:
IV. PHYSICAL DEMANDS
V. WORK ENVIRONMENT
VI. PRINCIPAL ACCOUNTABILITIES
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0 Member Services Supervisor jobs found in Topeka, KS area