Member Care Representative Salary in Ohio

Member Services Representative - Average Salary $39,145

Addresses 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, or written questions. Provides available information upon request and researches or escalates issues as appropriate. Maintains confidentiality per HIPAA guidelines. Requires a high school diploma or equivalent. Typically reports to a supervisor or manager. Works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. Typically requires 1-3 years of related experience.

Member Services Representative, Sr. - Average Salary $49,431

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. Provides available information upon request and researches or escalates issues as appropriate. Maintains confidentiality per HIPAA guidelines. Requires a high school diploma or equivalent. Typically reports to a supervisor or manager. Works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. Typically requires 3-5 years of related experience.

Health Plan Member Services Representative - Average Salary $39,200

The Health Plan Member Services Representative is responsible for receiving, responding to, and directing member phone calls, or written questions. Addresses member inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. Being a Health Plan Member Services Representative maintains confidentiality per HIPAA guidelines. Provides available information upon request and researches or escalates issues as appropriate. In addition, Health Plan Member Services Representative requires a high school diploma or its equivalent. Typically reports to a supervisor or manager. Being a Health Plan Member Services Representative gains or has attained full proficiency in a specific area of discipline. Works under moderate supervision. Working as a Health Plan Member Services Representative typically requires 1-3 years of related experience.

Health Plan Member Support Representative - Average Salary $39,150

The Health Plan Member Support Representative is responsible for receiving, responding to, and directing member phone calls, or written questions. Addresses member inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. Being a Health Plan Member Support Representative maintains confidentiality per HIPAA guidelines. Provides available information upon request and researches or escalates issues as appropriate. In addition, Health Plan Member Support Representative requires a high school diploma or its equivalent. Typically reports to a supervisor or manager. Being a Health Plan Member Support Representative gains or has attained full proficiency in a specific area of discipline. Works under moderate supervision. Working as a Health Plan Member Support Representative typically requires 1-3 years of related experience.

Health Plan Member Services Senior Representative - Average Salary $49,500

The Health Plan Member Services Senior Representative is responsible for receiving, responding to, and directing member phone calls and written requests. 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. Being a Health Plan Member Services Senior Representative maintains confidentiality per HIPAA guidelines. Provides available information upon request and researches or escalates issues as appropriate. In addition, Health Plan Member Services Senior Representative requires a high school diploma or its equivalent. Typically reports to a supervisor or manager. Being a Health Plan Member Services Senior Representative has gained proficiency in multiple competencies relevant to the job. Works independently within established procedures associated with the specific job function. Working as a Health Plan Member Services Senior Representative typically requires 3-5 years of related experience.