Member Services Representative, Sr. jobs in Nevada

Member Services Representative, Sr. addresses more complex 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 receiving, responding to, and directing member phone calls and written requests. Being a Member Services Representative, Sr. provides available information upon request and researches or escalates issues as appropriate. Maintains confidentiality per HIPAA guidelines. Additionally, Member Services Representative, Sr. requires a high school diploma or equivalent. Typically reports to a supervisor or manager. The Member Services Representative, Sr. works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be a Member Services Representative, Sr. typically requires 3-5 years of related experience. (Copyright 2024 Salary.com)

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Member Services Representative
  • MDVIP LLC
  • Las Vegas, NV FULL_TIME
  • Overview

    Come join an innovative leader in the healthcare industry.  MDVIP is seeking a remote contact center Customer Service Representative who has excellent verbal and written communication skills and the ability to maintain composure and patience while speaking with callers. The qualified candidate will professionally assist with membership inquiries and service requests and provide accurate and timely information to MDVIP members, MDVIP affiliated Physicians/Staff, and internal teams.

     

    MDVIP has consistently been recognized as a Great Place to Work® employer since 2018. (Greatplacetowork.com/certified-company/MDVIP) and was named by Fortune and Great Place to Work® as one of  the  2023 Best Workplaces in Healthcare™. 

    Responsibilities

    • Assists MDVIP members/physicians and staff by responding to inquiries and concerns through telephone, e-mail, and written correspondence.  Researches and resolves member issues and develops appropriate solutions.
    • Assists with structured outbound calling campaigns, supporting our affiliated practices and member retention efforts.
    • Processes new member applications, invoices, receipts, cancellations and reinstatements, and other administrative tasks. Accurately documents all phone calls and activities in the member’s record.
    • Provides information to Members and Doctor’s offices to assist with reimbursement inquiries.
    • Assists members/physicians with MDVIP general website and App support.          

    This job profile is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Other duties, responsibilities and activities may change or be assigned at any time with or without notice.

    Qualifications

    Education / Experience / Knowledge:

    High school diploma or general education degree (GED); An Associate degree is desirable, but not required. Minimum of three years of related experience and/or training, which may include prior customer service in a call center environment, or business / administrative experience.

    Required skills include:

    • Must possess strong communication skills and be articulate and concise.  Speaks clearly, using appropriate grammar and word choice. 
    • Displays professional telephone etiquette and ability to use advanced phone systems.  While not required, foreign language fluency may be considered a plus. 
    • Ability to establish priorities, work independently, and manage objectives with little supervision.
    • Types with speed and accuracy, proficiency with Microsoft Office Suite and knowledge of modern office procedures.
    • Prior experience with various call center solutions a plus.

    Telecommuter roles:  This role is approved for home-based work, from the location identified at the time of hire, and must be able to work the assigned schedule. Any change of work location, even on a short-term or interim basis, must be reviewed by the Supervisor and HR and approved at the sole discretion and approval of executive leadership. 

     

    Additional information:

    At no time may work be performed, or computer systems accessed, from outside of the U.S.

    Individuals hired must be able to perform essential duties satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    MDVIP provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

    This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

    Consistent with our mission, purpose, and core values, MDVIP takes the health and safety of its employees very seriously.  With the concern over the spread of the coronavirus or “COVID-19,”and its variants, MDVIP has, and will continue to take reasonable measures to mitigate the potential spread of COVID-19.  Your recruiter will provide more information during the interview process.

  • 18 Days Ago

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Member Services Representative (LV Sunset)
  • Planet Fitness LV-Sunset (Henderson)
  • Henderson, NV FULL_TIME
  • At Planet Fitness, we pride ourselves in creating a culture that empowers people to live a healthy lifestyle. Our goal is to assist our members and our employees to reach their full potential.We are c...
  • 3 Days Ago

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Member Services Representative - [LV Flamingo]
  • Planet Fitness LV-Flamingo
  • LAS VEGAS, NV FULL_TIME
  • At Planet Fitness, we pride ourselves in creating a culture that empowers people to live a healthy lifestyle. Our goal is to assist our members and our employees to reach their full potential.We are c...
  • 14 Days Ago

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Part Time Member Services Representative (NV)
  • Seabreeze Management Company Inc
  • Las Vegas, NV PART_TIME
  • DescriptionIntroduction:Seabreeze Management Company is a full-service property management firm with a diverse management portfolio of over 90,000 residential and commercial properties. Based in Aliso...
  • 1 Month Ago

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Member Services Representative (LV Decatur Flamingo)
  • Planet Fitness LV-Decatur & Flamingo
  • Las Vegas, NV FULL_TIME
  • At Planet Fitness, we pride ourselves in creating a culture that empowers people to live a healthy lifestyle. Our goal is to assist our members and our employees to reach their full potential.We are c...
  • 27 Days Ago

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Member Services Representative (LV Deer Springs)
  • Planet Fitness LV-Deer Springs
  • Las Vegas, NV FULL_TIME
  • At Planet Fitness, we pride ourselves in creating a culture that empowers people to live a healthy lifestyle. Our goal is to assist our members and our employees to reach their full potential.We are c...
  • 2 Months Ago

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MEMBER SERVICE REP
  • Crunch Fitness
  • San Diego, CA
  • Benefits: Opportunity for advancement Training & development Wellness resources Member Service Representative - lively e...
  • 6/11/2024 12:00:00 AM

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MEMBER SERVICE REP
  • Crunch - SIR Fitness LLC.
  • Anaheim, CA
  • Member Service Representative - lively environment, versatile assignments, competitive atmosphere Would you like to work...
  • 6/11/2024 12:00:00 AM

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MEMBER SERVICE REP
  • Crunch - SIR Fitness LLC.
  • Vista, CA
  • Benefits: Opportunity for advancement Training & development Wellness resources Member Service Representative - lively e...
  • 6/11/2024 12:00:00 AM

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Member Services Representative
  • Anytime Fitness
  • Loudon, TN
  • The Member Services Representative Objective: The Member Services Representative is responsible for growing the membersh...
  • 6/11/2024 12:00:00 AM

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Member Service Rep
  • Access Federal Credit Union
  • Oneida, NY
  • Job Description Job Description Position Description: Member Service Representative (MSR) Location: Oneida Job Type: Ful...
  • 6/11/2024 12:00:00 AM

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MEMBER SERVICE REP
  • Crunch Fitness
  • Chula Vista, CA
  • Benefits: Opportunity for advancement Training & development Wellness resources Member Service Representative - lively e...
  • 6/10/2024 12:00:00 AM

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Member Service Rep
  • Saratoga Regional YMCA
  • Greenwich, NY
  • Job Type Part-time Description Part-time opportunity! Must be available evenings & weekends $16.69/hour POSITION SUMMARY...
  • 6/10/2024 12:00:00 AM

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Member Services Representative
  • Anytime Fitness
  • Ellettsville, IN
  • The Member Services Representative Objective: The Member Services Representative is responsible for growing the membersh...
  • 6/9/2024 12:00:00 AM

Nevada is almost entirely within the Basin and Range Province, and is broken up by many north-south mountain ranges. Most of these ranges have endorheic valleys between them, which belies the image portrayed by the term Great Basin. Much of the northern part of the state is within the Great Basin, a mild desert that experiences hot temperatures in the summer and cold temperatures in the winter. Occasionally, moisture from the Arizona Monsoon will cause summer thunderstorms; Pacific storms may blanket the area with snow. The state's highest recorded temperature was 125 °F (52 °C) in Laughlin (e...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Member Services Representative, Sr. jobs
$47,947 to $59,993

Member Services Representative, Sr. in Alamogordo, NM
In the role of Member Service Representative you will wear many hats and your talents will be crucial in the following areas.
January 05, 2020
Member Services Representative, Sr. in Wilmington, DE
Provides excellent service to members, guests, and program participants in the facility and on the phone, contributing to member retention.Builds relationships with members; helps members connect with each other and the Y.Handles and resolves membership concerns Able to effectively and safely evacuate persons from the facility if neededEnsures Y building and property is secure during shift Replaces soap, paper towels, and other supplies in the facility as needed; inventory control as required.
February 12, 2020
Member Services Representative, Sr. in Oakland, CA
Improving Members' experiences is at the heart of every Community position.
December 08, 2019