Member Services Representative, Sr. addresses more complex 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 receiving, responding to, and directing member phone calls and written requests. Being a Member Services Representative, Sr. provides available information upon request and researches or escalates issues as appropriate. Maintains confidentiality per HIPAA guidelines. Additionally, Member Services Representative, Sr. requires a high school diploma or equivalent. Typically reports to a supervisor or manager. The Member Services Representative, Sr. works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be a Member Services Representative, Sr. typically requires 3-5 years of related experience. (Copyright 2024 Salary.com)
Position Purpose:
Ensures that members are promptly and professionally served by performing a broad variety of member services functions.
Job Duties (include but not limited to):
Qualifications:
Skills and Abilities:
Benefits:
Don’t meet every single requirement listed here? That’s okay! At Genisys, we are dedicated to building a diverse, inclusive, and authentic workplace, so if you’re excited about this position but your qualifications or past experiences don’t align perfectly with those listed in the job description, we encourage you to apply anyways. You may just be the right candidate for this or other open positions we have! EOE M/F/Disability/Veteran
Clear All
0 Member Services Representative, Sr. jobs found in Dearborn, MI area