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)
We have a GREAT opportunity for a reliable, team player to become part of our team to assist patients in our primary care clinic. You will be rooming patients, obtaining vitals, and assisting the provider(s) with minor procedures. Additionally, you will be helping providers to order labs/x-rays, assist in management of prescription refill requests and prior authorizations, schedule and track patients, make referrals, triage patient phone calls and help with any various tasks needed for patient care. Hours will generally be 8 am-4:30 pm Monday-Friday.
Desired skills:
Positive Team Player
Computer Savvy- EMR experience, spreadsheets, etc.
Working Knowledge of Medical Terminology
Appointment Scheduling
Understanding of Medical Insurance (Incorporated in scheduling and to prepare billing for visits)
Maintain Accurate and Organized Records (Patient consent forms, billing, and daily logs)
Confident in Communication Skills
Highly Motivated
Three or more years of experience in a healthcare facility or private physician office is a plus (but not required)
Dependable attendance
Positive and professional attitude
Excellent patient care skills and ability to multitask.
Job Type: Full-time
Pay: $12.00 - $14.00 per hour
Benefits:
Medical specialties:
Schedule:
Work setting:
Work Location: In person