Health Plan Member Support Representative Salary in California

The Health Plan Member Support Representative is responsible for receiving, responding to, and directing member phone calls, or written questions. Addresses member inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. Being a Health Plan Member Support Representative maintains confidentiality per HIPAA guidelines. Provides available information upon request and researches or escalates issues as appropriate. In addition, Health Plan Member Support Representative requires a high school diploma or its equivalent. Typically reports to a supervisor or manager. Being a Health Plan Member Support Representative gains or has attained full proficiency in a specific area of discipline. Works under moderate supervision. Working as a Health Plan Member Support Representative typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)

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