Member Services Representative (Entry) Salary in San Diego, California

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Average Salary for Member Services Representative (Entry) in San Diego, California

The average salary of a(n) Member Services Representative (Entry) in San Diego, California is $38,416.

The average hourly rate of a(n) Member Services Representative (Entry) in San Diego, California is $18.47.

The average bonus of a(n) Member Services Representative (Entry) in San Diego, California is $711.00.

Job Description:

Communicates effectively with providers and Medicare members of the health plan, answering inquiries about Medicare member eligibility, plan benefits, and claims status. Provides customer service under direct supervision to plan members, providers, and employer groups by answering inquiries about member eligibility, plan benefits, claims status, and demographics. This is an entry-level position that typically does not require previous related experience. 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. Maintains records of all contacts and results. Provides claim status, payment amounts, and/or denials for processed claims. Reports successive claims payment issues or member issues to management for appropriate intervention. Assists providers with standard electronic claims submission questions and works with providers to resolve problems in filing electronic claims. Mails out provider directories and new member packets. Assists providers and members in accessing information via the organization's online services directory. Less

Communicates effectively with providers and Medicare members of the health plan, answering inquiries about Medicare member eligibility, plan benefits, and claims status. Provides customer service under direct supervision to plan members, providers, and employer groups by answering inquiries about member... More

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