Member Services Representative, Sr. jobs in Pensacola, FL

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)

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Director of Resident Services
  • Sr Companies Llc
  • Fort Walton Beach, FL FULL_TIME
  • Summary: Responsible for enhancing and improving the SRIM experience specifically in
    Heartful Care for our residents and their families by performing the following duties.

    Duties and Responsibilities include the following. Other duties may be assigned.
    1. Demonstrates and promotes SRIM's core value of the Golden Rule of treating others, including residents, families, visitors, and associates, in the same way we would like to be treated.*
    2. Accepts responsibility and accountability for management of the community in the executive director's absence.*
    3. Responsible for managing the health care of all residents including dissemination of information to families and associates.*
    4. Demonstrates excellent decision-making skills and can understand the impact of those decisions.*
    5. Sets and manages priorities.*
    6. Accepts calls from staff during nights and weekends.*
    7. Conducts meetings/trainings as required/requested.*
    8. Communications are clear, accurate, and timely.*
    9. Reviews associate applications, checks references, and interviews applicants for the best possible hire.*
    10. Monitors the work the associates do and how they perform.*
    11. Coaches/counsels associates in a respectful manner and completes the associate performance evaluations in accordance with established policy.*
    12. Monitors expenditures weekly to ensure compliance with department budgeted monthly amounts.*
    13. Schedules associates based upon budgeted FTE's and prepares assignments to ensure efficiency.*
    14. Provides hand on care on an as needed basis to meet the needs of the residents.*
    15. Performs evaluations on residents to determine level of care and services.*
    16. Participates in monthly ECC and LNS meeting with corporate director of nursing.*
    17. Ensures medication orders are accurate on the MORS.*
    18. Reviews and investigates all incidents reports and recommends appropriate action/follow up to the executive director.*
    19. Understands and adheres to the ALF regulations pertaining to assisted living health care laws.*
    20. Maintains a safe and secure working environment free of objects/situations that could cause harm and/or falls to residents, families, visitors, and associates.*
    21. Practices good body mechanics and safe working habits always.*
    22. Knows, understands, and follows established policies and procedures in emergency situations.*
    23. Acts as essential personnel especially during emergencies.*
    24. Wears clean and appropriate dress per established policy always.*
    25. Understands and complies with HIPAA regulations.*
    26. Takes the initiative in work, seeks out additional information, and offers solutions/suggestions.
    27. Performs all other reasonable duties as assigned or as requested.
    28. Takes on special projects or assignments outside of regular duties willingly.

    Supervisory Responsibilities:
    Directly supervises in the Resident Services/Nursing Department. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.

    Physical Demands:
    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to stand, walk, use hands, reach with hands and arms, and talk or hear. The employee is frequently required to stoop, kneel, crouch or crawl. The employee is occasionally required to sit, climb or balance, and taste or smell. The employee must occasionally lift and/or move up to 50 pounds.

    Work Environment:
    The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is occasionally exposed to blood borne pathogens.

    Qualifications:
    To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    Language Ability:
    Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.

    Math Ability:
    Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.

    Reasoning Ability:
    Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.

    Computer Skills:
    To perform this job successfully, an individual should have knowledge of word processing software, payroll systems, and electronic medical records.

    Education/Experience:
    High school diploma or general education degree (GED); and two to four years related experience and/or training; or equivalent combination of education and experience.

    Certificates and Licenses:
    Valid Florida Nursing License and complete core training within six months of employment

  • 1 Month Ago

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Member Services Representative- Full-Time Overnight (10p-6a)
  • PINNACLE FIT CLUBS LLC
  • Panama, FL FULL_TIME
  • Job Details Level: Entry Job Location: Panama City Fitness LLC - Panama City, FL Position Type: Full-Time/Part-Time Salary Range: Undisclosed Job Shift: 3rd Shift Job Category: Customer Service Descri...
  • 19 Days Ago

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Member Services Representative- Full-Time Overnight (10p-6a)
  • PINNACLE FIT CLUBS LLC
  • Panama, FL FULL_TIME
  • Job Details Level: Entry Job Location: Panama City Fitness LLC - Panama City, FL Position Type: Full-Time/Part-Time Salary Range: Undisclosed Job Shift: 3rd Shift Job Category: Customer Service Descri...
  • 19 Days Ago

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Financial Services Representative – State Farm Agent Team Member
  • Ryan Cabaniss - State Farm Agent
  • Niceville, FL FULL_TIME
  • ROLE DESCRIPTION:As a Financial Services Representative – State Farm Agent Team Member with Ryan Cabaniss - State Farm Agent, you will successfully market the financial products that manage everyday r...
  • 12 Days Ago

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Licensed Practical Nurse
  • SR COMPANIES LLC
  • Fort Walton Beach, FL OTHER
  • Job Details Job Location: Bay Port of Fort Walton Beach - Fort Walton Beach, FL Salary Range: Undisclosed DescriptionQualificationsQualifications: To perform this job successfully, an individual must ...
  • 26 Days Ago

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Culinary Assistant
  • SR COMPANIES LLC
  • Panama, FL OTHER
  • Job Details Job Location: Seagrass Village of Panama City Beach - Panama City Beach, FL Position Type: Full-Time/Part-Time Salary Range: Undisclosed Job Shift: Any Job Category: Restaurant - Food Serv...
  • 12 Days Ago

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0 Member Services Representative, Sr. jobs found in Pensacola, FL area

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Account Representative I
  • Guidant Financial
  • Pensacola, FL
  • This is a fully and permanently remote work from home opportunity with a growing and stable company available in select ...
  • 4/29/2024 12:00:00 AM

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Multi - Service PA2 - Customer Service Representative
  • Capgemini
  • Pensacola, FL
  • About Capgemini Capgemini is a global leader in consulting, digital transformation, technology and engineering services....
  • 4/29/2024 12:00:00 AM

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Customer Service Instant Return Representative
  • Hertz
  • Pensacola, FL
  • Job Description The Instant Return Representative is an essential member of the airport location team and is the brand a...
  • 4/28/2024 12:00:00 AM

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Network Management, Service Advocate IV (Provider)
  • Florida Blue
  • Pensacola, FL
  • Job SummaryThe Service Advocate IV - Network Management is part of a specialized call center who provides education and ...
  • 4/28/2024 12:00:00 AM

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Service Director
  • Gallery Residential
  • Pensacola, FL
  • Job Title: Service DirectorDepartment: Property ManagementReports To: Community DirectorFLSA Status: Non-ExemptPosition ...
  • 4/28/2024 12:00:00 AM

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Senior Client Services Manager (Remote)
  • Acxiom
  • Pensacola, FL
  • Senior Client Service Manager serves as a client and account managements day-to-day point of contact for Identity, Data ...
  • 4/28/2024 12:00:00 AM

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Call Center Representative
  • Retina Specialty Institute
  • Pensacola, FL
  • Job Description Job Description Title: Call Center Representative Department: Call Center Reports To: Call Center Superv...
  • 4/28/2024 12:00:00 AM

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EG Food Service Associate
  • Cumberland Farms
  • Pensacola, FL
  • Description: Position Summary: If you are a high energy, outgoing leader who loves to help others, work as part of a tea...
  • 4/25/2024 12:00:00 AM

Pensacola (/ˌpɛnsəˈkoʊlə/) is the westernmost city in the Florida Panhandle, approximately 13 miles (21 km) from the border with Alabama, and the county seat of Escambia County, in the U.S. state of Florida. As of the 2010 census, the city had a total population of 51,923, down from 56,255 at the 2000 census. Pensacola is the principal city of the Pensacola metropolitan area, which had an estimated 461,227 residents in 2012. Pensacola is a sea port on Pensacola Bay, which is protected by the barrier island of Santa Rosa and connects to the Gulf of Mexico. A large United States Naval Air Statio...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Member Services Representative, Sr. jobs
$43,070 to $53,889
Pensacola, Florida area prices
were up 1.5% from a year ago

Member Services Representative, Sr. in Memphis, TN
The Member Service Representative (MSR) provides a high standard of financial service to existing and potential members, processing transactions and building relationships while promoting the products and services of the credit union.
December 24, 2019
Member Services Representative, Sr. in Manchester, NH
Customer Service Representatives interface with customers via inbound calls and/or the Internet for the purpose of resolving routine problems with products or services, specifically insurance plans.
February 13, 2020
Delivers best service possible to members when they have requests or queries, always looking for ways to improve our service to them.
January 15, 2020
Member Services Representative, Sr. in Killeen, TX
Provides such member services as opening new accounts, ordering checks, ATM maintenance, corrections, etc.
February 23, 2020