Member Services Representative, Sr. jobs in Florida

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. (Copyright 2024 Salary.com)

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Member Services Data Coordinator
  • Member & Clinical Services
  • Daytona Beach, FL FULL_TIME
  • Member Services Data Coordinator
    Member & Clinical Services
    Full-time
    Monday - Friday 8am - 5pm

    POSITION SUMMARY:

    The Data Coordinator always presents a positive image to Florida Health Care Plans members. Collects, manages, reports data, and serves as departmental typist, (for correspondence, forms, spreadsheets, etc.) as needed. Will be proficient in all computer functions required for this position and always maintain confidentiality. Proficient at filing and tracking files. Must be flexible in meeting demands of all department operations. This position requires proficiency in answering calls, responding to emails, and in person support for members, co-workers, and management.


    QUALIFICATIONS:
    Education, skills and experience:


    • Associate Degree in Computer Science or related field is required; may substitute two years of computer work experience for the Associate Degree

    • Two (2) years' experience in the health care industry, preferable in public relations, customer service, or compliance/state & federal regulations preferred.

    • Experience with data entry, compiling, and sorting for tracking and reporting purposes preferred.

    • System support/testing experience preferred.

    • Willingness to learn.

    • Excellent verbal and written communication skills required.

    • Basic keyboarding skills required.

    • Proficient with Microsoft Office Suite products i.e.) Word, Excel & Outlook, and Adobe Acrobat

    • Must be able to work independently and with others in a multidisciplinary team environment.

    • Strong problem-solving, organizational and time management skills necessary.

    • Must be flexible in meeting the demands of all department operations.

    • Must be capable of multitasking while remaining organized.



    •EOE/M/F/Vet/Disabled

     

  • 7 Days Ago

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Director of Resident Services
  • Sr Companies Llc
  • Fort Walton Beach, FL FULL_TIME
  • Summary: Responsible for enhancing and improving the SRIM experience specifically in Heartful Care for our residents and their families by performing the following duties. Duties and Responsibilities ...
  • 12 Days Ago

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Member Services Representative
  • Self-Help Services Corp
  • Springs, FL FULL_TIME
  • WHO We Are: Self-Help started in 1980 with a focus on economic inequality especially in communities that have faced systemic barriers in building wealth. At the core of what Self-Help does is a drive ...
  • 9 Days Ago

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Member Services Representative
  • Planet Fitness
  • Casselberry, FL FULL_TIME
  • Job Summary The Member Services Representative will be responsible for creating a positive member experience by providing a superior level of customer service to Planet Fitness members, prospective me...
  • 20 Days Ago

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Member Services Representative
  • Planet Fitness - St. Petersburg
  • Saint Petersburg, FL FULL_TIME
  • Job Summary The Member Services Representative will be responsible for creating a positive member experience by providing a superior level of customer service to Planet Fitness members, prospective me...
  • 20 Days Ago

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Member Services Representative
  • Planet Fitness - FL Nudelman Group
  • Palm Harbor, FL FULL_TIME
  • Job Summary The Member Services Representative will be responsible for creating a positive member experience by providing a superior level of customer service to Planet Fitness members, prospective me...
  • 21 Days Ago

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Member Service Advisor
  • Ithink Financial
  • Jasper, GA
  • Description Primary Function: Welcome members to the Credit Union, and deliver excellent service by identifying member n...
  • 3/28/2024 12:00:00 AM

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Member Services Advisor
  • VETERANS OF FOREIGN WARS OF THE UNITED STATES
  • Kansas City, MO
  • Job Details Job Location Kansas City Location - Kansas City, MO Position Type Full Time Salary Range $35,880.00 Salary/y...
  • 3/27/2024 12:00:00 AM

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Member Service Representative
  • Dinjob
  • Oklahoma City, OK
  • Tinker Federal Credit Union has an immediate opening for a Member Service Representative/Teller. The primary responsibil...
  • 3/27/2024 12:00:00 AM

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Member Service Rep - Overnight
  • Excel Fitness
  • Virginia Beach, VA
  • Position: Member Services Representative - Front Desk Reports to: General Manager (GM)/ Assistant Manager (AM) / Shift L...
  • 3/27/2024 12:00:00 AM

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Member Services Rep
  • YMCA
  • Berkeley, CA
  • We are seeking staff for our dynamic fitness branch membership team! Our fitness centers are community hubs where people...
  • 3/26/2024 12:00:00 AM

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Member Services Representative
  • Anytime Fitness
  • Indianapolis, IN
  • The Member Services Representative Objective: The Member Services Representative is responsible for growing the membersh...
  • 3/26/2024 12:00:00 AM

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PartTime Member Service REP
  • Planet Fitness
  • Fleming Island, FL
  • Job Summary The Member Services Representative will be responsible for creating a positive member experience by providin...
  • 3/25/2024 12:00:00 AM

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Member Service Representative
  • T and I Credit Union
  • Clawson, MI
  • Job Description Job Description T & I Credit Union Now Hiring: Member Service Rep Join our team as a versatile Universal...
  • 3/24/2024 12:00:00 AM

Florida (/ˈflɒrɪdə/ (listen); Spanish for "land of flowers") is the southernmost contiguous state in the United States. The state is bordered to the west by the Gulf of Mexico, to the northwest by Alabama, to the north by Georgia, to the east by the Atlantic Ocean, and to the south by the Straits of Florida. Florida is the 22nd-most extensive (65,755 sq mi or 170,300 km2), the 3rd-most populous (21,312,211 inhabitants), and the 8th-most densely populated (384.3/sq mi or 148.4/km2) of the U.S. states. Jacksonville is the most populous municipality in the state and the largest city by area in th...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Member Services Representative, Sr. jobs
$45,068 to $56,393

Member Services Representative, Sr. in Alamogordo, NM
In the role of Member Service Representative you will wear many hats and your talents will be crucial in the following areas.
January 05, 2020
Member Services Representative, Sr. in Wilmington, DE
Provides excellent service to members, guests, and program participants in the facility and on the phone, contributing to member retention.Builds relationships with members; helps members connect with each other and the Y.Handles and resolves membership concerns Able to effectively and safely evacuate persons from the facility if neededEnsures Y building and property is secure during shift Replaces soap, paper towels, and other supplies in the facility as needed; inventory control as required.
February 12, 2020
Member Services Representative, Sr. in Oakland, CA
Improving Members' experiences is at the heart of every Community position.
December 08, 2019