Healthcare Member Services Specialist

University Health System- San Antonio; San Antonio (TX); On-site; USD 34,000 - 48,000; Full time

Job summary

University Health System- San Antonio is seeking a Member Services Liaison to resolve member and provider inquiries by phone and email, delivering accurate information and documenting interactions while upholding HIPAA policies.

The role requires a high school diploma with college coursework in business or health care administration; prior HM0 experience and healthcare problem resolution experience are preferred. Strong communication and customer service skills are essential.

Qualifications

• High school graduation or its equivalency is required.
• One year of college level courses in business, health care administration or related courses is preferred.
• Minimum of one-year HMO experience is preferred.
• Health care problem resolution experience is preferred.

Responsibilities

• Acts as liaison to members and providers to resolve member services issues.
• Provides information to Community First Health Plan members by phone.
• Ensures HIPAA-related policies are followed in all aspects of Member Services operations.

Skills

Customer service

Phone support

HIPAA compliance

Clear communication

Education

High school diploma

College coursework in business/health care

Job description

University Health System- San Antonio is seeking a Member Services Liaison to resolve member and provider inquiries by phone and email, delivering accurate information and documenting interactions while upholding HIPAA policies.

The role requires a high school diploma with college coursework in business or health care administration; prior HM0 experience and healthcare problem resolution experience are preferred. Strong communication and customer service skills are essential.