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.
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
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.
PI251176666
Senior Member Service Representative
Has comprehensive knowledge of STAR Kids and STAR+PLUS programs in order to serve as a liaison to members and providers regarding benefits and services, resolving member and provider issues, providing information regarding all aspects of the Special Health Care Needs (SHCN) call center which include...
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Has comprehensive knowledge of STAR Kids and STAR+PLUS programs in order to serve as a liaison to members and providers regarding benefits and services, resolving member and provider issues, providing information regarding all aspects of the Special Health Care Needs (SHCN) call center which include...
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