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Member Services Representative
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- Member Services Representative W2 Contract Salary Range: $41,600 - $52,000 per year Location: South San Francisco, CA - Onsite Role Job Summary: Under supervision, you will provide customer support services to our health plan network.
- Process changes to member records such as primary care physician, demographic, and other changes.
- Refer unresolved complaints to the Grievance and Appeals Unit. Prepare activity reports as required.
- Follow-up if the member has selected a provider in Established Patient Only (EPO) status.
- Answer questions about providers; educate members on effective dates for PCP changes; assist members in selecting and changing their PCP. Participate in and professionally represent at health fairs, community partnerships, meetings, committees, and coalitions as requested by the Manager or Supervisor.
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