| Member Services Supervisor Job Description |
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| The following is a full job description for Member Services Supervisor. Here are the requirements and responsibilities for Member Services Supervisor along with statistics. If after reading this page you determine that Member Services Supervisor is not the position you are looking for, you may want to try one of these similar titles: Member Education Supervisor, Member Services Director, Member Services Manager, Member Services Representative, Member Experience Specialist, Member Services Representative, Sr., Professional Services Supervisor, Professional Services Manager, Member Education Coordinator |
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| Requirements and Responsibilities For Member Services Supervisor |
| Supervises the team responsible for providing customer service to healthcare plan members. Explains coverage details, confirms eligibility, verifies claim status, and may resolve billing issues. Directs patients to in-network doctors and explains the authorization process for specialized care. Responsible for researching more complex questions, investigating the cause of the issue, and responding to members on escalated issues. Maintains confidentiality per HIPAA guidelines. May require an associate degree. Typically reports to a manager. Supervises a small group of para-professional staff in an organization characterized by highly transactional or repetitive processes. Contributes to the development of processes and procedures. Typically requires 3 years experience in the related area as an individual contributor. Thorough knowledge of functional area under supervision. |
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| Also referred to as: Health Plan Member Services Support Team Leader |
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| Similar Jobs: Member Education Supervisor, Member Services Director, Member Services Manager, Member Services Representative, Member Experience Specialist, Member Services Representative, Sr., Professional Services Supervisor, Professional Services Manager, Member Education Coordinator |
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| Level of Education: Member Services Supervisor Salaries with a High School Diploma or Technical Certificate, Member Services Supervisor Salaries with an Associate's Degree, Member Services Supervisor Salaries with a Bachelor's Degree, Member Services Supervisor Salaries with a Master's Degree or MBA, Member Services Supervisor Salaries with a JD, MD, PhD or Equivalent |
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| Industries: Edu., Gov't. & Nonprofit, Healthcare, Insurance | |
