Member Service Representative

University Health System; San Antonio (TX); On-site; USD 30,000 - 50,000; Full time

Job summary

An established industry player is seeking a dedicated individual to join their Member Services team. This role involves acting as a liaison between members and providers to resolve service issues and provide essential information. The ideal candidate will have a strong background in customer service and problem resolution, ensuring compliance with health care regulations. If you are passionate about helping others and have experience in the health care sector, this opportunity is perfect for you.

Qualifications

• High school graduation or equivalent required.
• One year of college courses in business or health care preferred.

Responsibilities

• Serve as a liaison to members and providers for resolving issues.
• Provide information to Community First Health Plan members by phone.

Skills

Customer Service

Problem Resolution

HIPAA Compliance

Education

High School Diploma

College Level Courses in Business or Health Care

Job description

POSITION SUMMARY/RESPONSIBILITIES
Serves as a liaison to members and providers in resolving member services issues. Provides information to Community First Health Plan members by phone. Ensures compliance with the Health Insurance Portability and Accountability Act (HIPAA) related policies in regards to all aspects of operations within Member Services.

EDUCATION/EXPERIENCE
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.