Member Services Representative

University Health System; San Antonio (TX); In loco; USD 32.000 - 42.000; Tempo pieno

Descrizione del lavoro

University Health System in San Antonio, TX seeks a Member Services liaison to resolve member and provider issues and provide information to plan members by phone. The role emphasizes HIPAA compliance across all operations within the Member Services team.

The ideal candidate has at least a high school diploma and some college coursework in business or healthcare administration, with preference for HMO experience or healthcare problem resolution background.

Competenze

• Minimum 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.

Mansioni

• Acts as a liaison to members and providers to resolve member services issues.
• Provides information to Community First Health Plan members by phone.
• Ensures HIPAA compliance in all operations within Member Services.

Formazione

High school diploma or equivalent

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

One year of HMO experience

Descrizione del lavoro

POSITION SUMMARY AND 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

Minimum 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.