POSITION SUMMARY AND RESPONSIBILITIES

Serves as a liaison to members and providers in resolving member service issues, provides information to Community First Health Plan members by phone, mail or in person. Ensures compliance with the Health Insurance Portability and Accountability Act (HIPAA) related policies in regard to all aspects of operations within Member Services.

EDUCATION/EXPERIENCE

Minimum two years college level work in business, health care administration or related courses is required or one year experience as a member service representative. Minimum of one year of HMO experience is preferred. Health care problem resolution experience is preferred.