Member Services Representative, Sr. jobs in South Carolina

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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Director of Resident Services
  • Sr Companies Llc
  • Wylie, SC FULL_TIME
  • Summary: Responsible for enhancing and improving the SRIM experience specifically in
    Heartful Care for our residents and their families by performing the following duties.

    Duties and Responsibilities include the following. Other duties may be assigned.
    1. Demonstrates and promotes SRIM's core value of the Golden Rule of treating others, including residents, families, visitors, and associates, in the same way we would like to be treated.*
    2. Accepts responsibility and accountability for management of the community in the executive director's absence.*
    3. Responsible for managing the health care of all residents including dissemination of information to families and associates.*
    4. Demonstrates excellent decision-making skills and can understand the impact of those decisions.*
    5. Sets and manages priorities.*
    6. Accepts calls from staff during nights and weekends.*
    7. Conducts meetings/trainings as required/requested.*
    8. Communications are clear, accurate, and timely.*
    9. Reviews associate applications, checks references, and interviews applicants for the best possible hire.*
    10. Monitors the work the associates do and how they perform.*
    11. Coaches/counsels associates in a respectful manner and completes the associate performance evaluations in accordance with established policy.*
    12. Monitors expenditures weekly to ensure compliance with department budgeted monthly amounts.*
    13. Schedules associates based upon budgeted FTE's and prepares assignments to ensure efficiency.*
    14. Provides hand on care on an as needed basis to meet the needs of the residents.*
    15. Performs evaluations on residents to determine level of care and services.*
    16. Participates in monthly ECC and LNS meeting with corporate director of nursing.*
    17. Ensures medication orders are accurate on the MORS.*
    18. Reviews and investigates all incidents reports and recommends appropriate action/follow up to the executive director.*
    19. Understands and adheres to the ALF regulations pertaining to assisted living health care laws.*
    20. Maintains a safe and secure working environment free of objects/situations that could cause harm and/or falls to residents, families, visitors, and associates.*
    21. Practices good body mechanics and safe working habits always.*
    22. Knows, understands, and follows established policies and procedures in emergency situations.*
    23. Acts as essential personnel especially during emergencies.*
    24. Wears clean and appropriate dress per established policy always.*
    25. Understands and complies with HIPAA regulations.*
    26. Takes the initiative in work, seeks out additional information, and offers solutions/suggestions.
    27. Performs all other reasonable duties as assigned or as requested.
    28. Takes on special projects or assignments outside of regular duties willingly.

    Supervisory Responsibilities:
    Directly supervises in the Resident Services/Nursing Department. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.

    Physical Demands:
    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to stand, walk, use hands, reach with hands and arms, and talk or hear. The employee is frequently required to stoop, kneel, crouch or crawl. The employee is occasionally required to sit, climb or balance, and taste or smell. The employee must occasionally lift and/or move up to 50 pounds.

    Work Environment:
    The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is occasionally exposed to blood borne pathogens.

    Qualifications:
    To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    Language Ability:
    Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.

    Math Ability:
    Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.

    Reasoning Ability:
    Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.

    Computer Skills:
    To perform this job successfully, an individual should have knowledge of word processing software, payroll systems, and electronic medical records.

    Education/Experience:
    High school diploma or general education degree (GED); and two to four years related experience and/or training; or equivalent combination of education and experience.

    Certificates and Licenses:
    Valid Florida Nursing License and complete core training within six months of employment

  • 3 Days Ago

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Sales Representative
  • SR Solar LLC
  • Myrtle, SC FULL_TIME
  • About Us:At SR Solar we are committed to helping homeowners bridge the gap from relying on local utility companies for electricity by providing homeowners with effective renewable energy solutions and...
  • 19 Days Ago

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Overnight Member Services Representative
  • Right at Home Northern Virginia
  • Cayce, SC FULL_TIME
  • Benefits:401(k)401(k) matchingEmployee discountsOpportunity for advancementTraining & developmentWellness resourcesJob Summary:The Overnight Front Desk Associate will be responsible for creating a pos...
  • 3 Days Ago

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Member Services Representative
  • Planet Fitness
  • Anderson, SC PART_TIME,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 ...
  • 4 Days Ago

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Member Services Representative
  • Right at Home Northern Virginia
  • West Columbia, SC FULL_TIME
  • Benefits:401(k)401(k) matchingEmployee discountsOpportunity for advancementWellness resourcesThe Member Services Representative is responsible for creating a positive member experience by providing a ...
  • 7 Days Ago

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Weekend Member Services Representative
  • Right at Home Northern Virginia
  • Sumter, SC FULL_TIME
  • Benefits:401(k)401(k) matchingEmployee discountsFlexible scheduleOpportunity for advancementPaid time offTraining & developmentWellness resourcesThe Member Services Representative is responsible for c...
  • 8 Days 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

South Carolina (/ˌkærəˈlaɪnə/ (listen)) is a state in the Southeastern United States and the easternmost of the Deep South. It is bordered to the north by North Carolina, to the southeast by the Atlantic Ocean, and to the southwest by Georgia across the Savannah River. South Carolina became the eighth state to ratify the U.S. Constitution on May 23, 1788. South Carolina became the first state to vote in favor of secession from the Union on December 20, 1860. After the American Civil War, it was readmitted into the United States on June 25, 1868. South Carolina is the 40th most extensive and 23...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Member Services Representative, Sr. jobs
$45,082 to $56,408

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