Member Services Representative Prn

University Health; San Antonio (TX); On-site; USD 32,000 - 52,000; Full time

Job summary

University Health in San Antonio, Texas is seeking a Member Services liaison to resolve member issues and provide information to Community First Health Plan members by phone. The role requires organizing information and guidance while upholding HIPAA policies within the Member Services department.

The position emphasizes communication with members and providers, ensuring accurate information delivery and careful handling of sensitive health information as part of daily operations.

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 graduation or equivalent

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.