Health Plan Member Services Senior Representative Jobs

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. More
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