6 general skills or competencies (Job family competencies) for Member Services Representative
Skill definition-Abiding in the act protects sensitive patient health information from being disclosed without the patient's consent and knowledge.
Level 1 Behaviors
(General Familiarity)
Cites the policies and procedures on compliance with the HIPAA Privacy Rule.
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Level 2 Behaviors
(Light Experience)
Adheres to policies and procedures in conducting HIPAA compliance process.
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Level 3 Behaviors
(Moderate Experience)
Analyzes and maintains authorization forms, plan documents, and notices to ensure compliance with HIPAA regulations.
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Level 4 Behaviors
(Extensive Experience)
Adopts documentation platforms to improve security for HIPAA compliance of employees and client-proprietary information.
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Level 5 Behaviors
(Mastery)
Constructs strategic action plans for potential compliance risks with applicable policies from HIPAA regulations.
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Skill definition-Applying healthcare industry knowledge to manufacture drugs and equipment and offer clinical and other healthcare-related support services.
Level 1 Behaviors
(General Familiarity)
Compiles a list of risks and regulatory challenges for healthcare industries.
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Level 2 Behaviors
(Light Experience)
Locates resources to acquire updates regarding changes in healthcare regulations and requirements.
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Level 3 Behaviors
(Moderate Experience)
Implements strategies to resolve medical and pharmaceutical malpractices affecting the quality of outcomes.
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Level 4 Behaviors
(Extensive Experience)
Evaluates healthcare industry changes and proposes objective and strategy improvements.
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Level 5 Behaviors
(Mastery)
Keeps current on issues concerning information privacy to improve customers' trust in sharing personal information.
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7 soft skills or competencies (core competencies) for Member Services Representative
Skill definition-The capability of consistently delivering outstanding customer experiences to meet and even exceed customers' expectations.
Level 1 Behaviors
(General Familiarity)
Explains the definition and characteristics of service excellence.
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Level 2 Behaviors
(Light Experience)
Provides timely response to customers' complaints, feedback, and comments.
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Level 3 Behaviors
(Moderate Experience)
Develops and sustains productive working relationships with internal and external customers.
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Level 4 Behaviors
(Extensive Experience)
Directs service design programs to optimize service delivery and customer experience.
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Level 5 Behaviors
(Mastery)
Explores innovative service models and processes to exceed client expectations.
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Skill definition-Executing and completing a task with a high level of accuracy.
Level 1 Behaviors
(General Familiarity)
Identifies the procedures for making sure that results are mistake-free.
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Level 2 Behaviors
(Light Experience)
Processes limited amounts of detailed information with reasonable accuracy.
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Level 3 Behaviors
(Moderate Experience)
Reviews and analyzes the accuracy of data and details.
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Level 4 Behaviors
(Extensive Experience)
Designs systems to help the team organize and track details and project progress.
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Level 5 Behaviors
(Mastery)
Develops best practices for identifying and correcting errors, oversights, and omissions.
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Summary of Member Services Representative skills and competencies
There are 0 hard skills for Member Services Representative.
6 general skills for Member Services Representative, HIPAA Compliance, Healthcare Industry, Healthcare Knowledge, etc.
7 soft skills for Member Services Representative, Service Excellence, Attention to Detail, Confidentiality, etc.
While the list totals 13 distinct skills, it's important to note that not all are required to be mastered to the same degree. Some skills may only need a basic understanding, whereas others demand a higher level of expertise.
For instance, as a Member Services Representative, he or she needs to be proficient in Service Excellence, be proficient in Attention to Detail, and be proficient in Confidentiality.