Member Services Advocate (HIPAA‑Aware)

Community First Health Plans; San Antonio (TX); On-site; USD 32,000 - 42,000; Full time

Job summary

Community First Health Plans in San Antonio, TX is seeking a dedicated Member Services Liaison to resolve member and provider issues by phone and to help ensure HIPAA compliance across all member services operations. Required: high school diploma or equivalent.

Preferred: one year of college courses in business or health care administration and at least one year of HMO experience, plus health care problem resolution experience.

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

• 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 HIPAA related policies in regards to all aspects of operations within Member Services.

Education

High school diploma or equivalent

One year of college-level courses in business/health care administration or related courses

Minimum of one-year HMO experience

Health care problem resolution experience

Job description

Community First Health Plans in San Antonio, TX is seeking a dedicated Member Services Liaison to resolve member and provider issues by phone and to help ensure HIPAA compliance across all member services operations. Required: high school diploma or equivalent.

Preferred: one year of college courses in business or health care administration and at least one year of HMO experience, plus health care problem resolution experience.