Senior Member Services Representative

University Health; San Antonio (TX); On-site; USD 36,000 - 48,000; Full time

Job summary

University Health is seeking a dedicated Member Services representative to resolve member issues and assist providers. The role involves handling inquiries by phone, mail, and in person while upholding HIPAA policies in all operations.

Applicants should have at least two years of college work in business or health care, or one year of member service experience, with HM0 experience preferred. Strong problem-solving and communication skills are essential.

Qualifications

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

Responsibilities

• 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 HIPAA compliance with regard to all aspects of operations within Member Services.

Skills

Customer service

HIPAA compliance

Problem resolution

Communication skills

Education

Two years college in business/health care

Experience as member service representative

Job description

POSITION SUMMARY/RESPONSIBILITIES

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.