Member Services Representative Salary in Colorado - State Average

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Average Salary for Member Services Representative in Colorado - State Average

The average salary of a(n) Member Services Representative in Colorado - State Average is $39,852.

The average hourly rate of a(n) Member Services Representative in Colorado - State Average is $19.16.

The average bonus of a(n) Member Services Representative in Colorado - State Average is $785.00.

Job Description:

Communicates effectively with providers and members of the health plan, answering inquiries about member eligibility, plan benefits, claims status, and demographics. Provides customer service to plan members, providers, and employer groups by answering complex benefit questions, resolving issues, and educating callers. Typically has more than two years of experience in customer service. 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. May intercede on the member's behalf with providers and other parties to resolve member problems. Less

Communicates effectively with providers and members of the health plan, answering inquiries about member eligibility, plan benefits, claims status, and demographics. Provides customer service to plan members, providers, and employer groups by answering complex benefit questions, resolving issues, and educating... More

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Sales and member service standards. Credit union products and services, directing members to proper departments/staff, and performing member account maintenance...

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