Senior Member Services Representative

University Health System- San Antonio; San Antonio (TX); On-site; USD 36,000 - 54,000; Full time

Job summary

University Health System - San Antonio is seeking a dedicated Member Services liaison to resolve member service issues and provide information to Community First Health Plan members by phone, mail, or in person. The role emphasizes HIPAA compliance and high-quality customer service in a healthcare setting.

The ideal candidate will have two years of college-level coursework in business or health care administration, or one year of member service experience, with a preference for HMO experience

Qualifications

• Two years of college-level work in business or health care administration or related courses, or one year experience as a member service representative.
• One year of HMO experience preferred.
• Healthcare problem resolution experience preferred.

Responsibilities

• Act as liaison to members and providers to resolve member service issues.
• Provide information to Community First Health Plan members by phone, mail or in person.

Skills

Communication skills

HIPAA compliance

Customer service

Education

Two years college coursework in business/health care administration

Job description

Serves as a liaison to members and providers in resolving member service issues, provides information to Community First Health Plan members by phone, mail or in person. Ensures compliance with the Health Insurance Portability and Accountability Act (HIPAA) related policies in regard to all aspects of operations within Member Services.

EDUCATION/EXPERIENCE

Minimum two years college level work in business, health care administration or related courses is required or one year experience as a member service representative. Minimum of one year of HMO experience is preferred. Health care problem resolution experience is preferred.