Member Services Manager
Member Services Manager manages the team responsible for providing customer service to healthcare plan members. Explains coverage details, confirms eligibility, verifies claim status, and may resolve billing issues. Being a Member Services Manager ensures member service representatives follow established policies for addressing member inquiries and meet service quality goals. Responsible for researching more complex questions, investigating the cause of the issue, and responding to members on escalated issues. Additionally, Member Services Manager maintains confidentiality per HIPAA guidelines. Requires a bachelor's degree. Typically reports to a director. The Member Services Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Member Services Manager typically requires 5 years experience in the related area as an individual contributor. 1-3 years supervisory experience may be required. Extensive knowledge of the function and department processes.
Find out Job Distribution by:Years of Experience
Not enough data has been collected on this job title yet.
Education Level
Not enough data has been collected on this job title yet.
Company Size
Not enough data has been collected on this job title yet.
Industry
Not enough data has been collected on this job title yet.
