The graph below is a comparison of salary data for 10 jobs in Harlingen, Texas, as provided by the free SalaryExpert®
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Average Salary
Updated: 05/18/2013
Member Services Representative Medical:
Communicates effectively with providers and members of the health plan, answering inquiries about member eligibility, plan benefits, claims status and demographics.
In a senior capacity, provides customer service to plan members, providers and employer groups by answering complex benefit questions, resolving... [+] More
Member Services Representative Medical:
Communicates effectively with providers and members of the health plan, answering inquiries about member eligibility, plan benefits, claims status and demographics.
In a senior capacity, provides customer service to plan members, providers and employer groups by answering complex benefit questions, resolving issues and educating callers. Receives inquiries from members via the internet, telephone and in writing regarding covered benefits. Provides assistance in resolving problems such as finding physicians, arranging transportation, ordering identification cards, changing primary care case managers, filing appeals, resolving billing errors and accessing payment. Serves as a resource for all entry level Member Service Representatives and may assist with resolution of issues or handle calls that cannot be resolved by less experienced staff. Maintains records of all contacts and results. Provides claim status, payment amounts and/or denials for processed claims. Assists providers with standard electronic claims submission questions and works with providers to resolve problems in filing electronic claims. Researches and resolves problems, complaints and concerns. Mails out provider directories and new member packets. Assists providers and members in accessing information via the organization’s online services directory. Reports suspected cases of member of provider fraud and abuse. Reports successive claims payment issues or member issues to management for appropriate intervention. Typically has more than three years of experience in customer service. May intercede on the member’s behalf with providers and other parties to resolve member problems. (Source: eDOT Job Description) [-] Less
Cost of Living Data
A renter's cost of living for someone making $26,740 in Harlingen, Texas is 85.4% of the US National Average. For more information, or to compare cost of living data between two cities, click here.
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