Member Services Representative Salary in Washington, DC

Member Services Representative, Sr. - Average Salary $58,054

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.

Account Services Member Services Representative I - Average Salary $43,040

There is currently no job description for Account Services Member Services Representative I, be the first to submit the job responsibilities for Account Services Member Services Representative I.

Health Plan Member Services Representative - Average Salary $43,600

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 Services Senior Representative - Average Salary $58,100

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.

Member Services Director - Average Salary $154,497

Member Services Director directs and coordinates all aspects of the health maintenance organization (HMO) member services department. Plans and directs policies and objectives for addressing member inquiries. Being a Member Services Director establishes service quality goals for the department and implements strategies to meet these goals. Typically requires a bachelor's degree. Additionally, Member Services Director typically reports to top management. The Member Services Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. To be a Member Services Director typically requires 5+ years of managerial experience.