Health Plan Member Services Representative Jobs

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. More
Show Less