Average Salary for Jobs with HMO Member Services Skills

The average salary for jobs that require the skills of HMO Member Services is $98,845 based on United States National Average.

Base Salary

Core compensation

$36,482
$161,207
$98,845
Member Services Director
Alternate Job Titles: Health Plan Member Services Director

Directs and oversees the team responsible for providing customer service to healthcare plan members. 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. Maintains confidentiality per H... View job details

Member Services Manager
Alternate Job Titles: Health Plan 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. 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 o... View job details

Member Services Representative
Alternate Job Titles: Health Plan Member Services Representative | Health Plan Member Support Representative | Member Services Representative I

Responsible for providing customer service to healthcare plan members. Explains coverage details, confirms eligibility, verifies claim status, and may resolve billing issues. Directs patients to in-network doctors and explains the authorization process for specialized care. Researches issues and escalates as appropriate. Maintains confidentiality per HIPAA guidelines. Requires a high school diplom... View job details

Member Services Representative, Sr.
Alternate Job Titles: Health Plan Member Services Senior Representative | Health Plan Member Support Senior Representative | Member Services Representative II

Responsible for providing customer service to healthcare plan members. Explains coverage details, confirms eligibility, verifies claim status, and may resolve billing issues. Directs patients to in-network doctors and explains the authorization process for specialized care. Researches issues and escalates as appropriate. Maintains confidentiality per HIPAA guidelines. Requires a high school diplom... View job details

Member Services Supervisor
Alternate Job Titles: Health Plan Member Services Support Team Leader

Supervises the team responsible for providing customer service to healthcare plan members. Explains coverage details, confirms eligibility, verifies claim status, and may resolve billing issues. Directs patients to in-network doctors and explains the authorization process for specialized care. Responsible for researching more complex questions, investigating the cause of the issue, and responding ... View job details

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