| 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 Services Director, Member Services Manager, Member Services Representative, Member Services Representative, Sr., Member Experience Specialist, Member Education Coordinator, Library Services Supervisor, Rehabilitation Services Supervisor, Office Supervisor |
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| Requirements and Responsibilities For Member Services Supervisor |
| Supervises a group of member services representatives that address health plan or HMO member inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. Responsible for researching more complex questions, investigating the cause of the issue, and responding to members on escalated issues. Assists with hiring, training, ongoing monitoring and QA, performance evaluations and any corrective actions of member services representatives. Requires a high school diploma or its equivalent. 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. Thorough knowledge of functional area under supervision. Typically requires 3 years experience in the related area as an individual contributor. |
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| Also referred to as: Health Plan Member Services Support Team Leader |
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| Similar Jobs: Member Services Director, Member Services Manager, Member Services Representative, Member Services Representative, Sr., Member Experience Specialist, Member Education Coordinator, Library Services Supervisor, Rehabilitation Services Supervisor, Office Supervisor |
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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 | |
