What does a membership representative do?

An associate customer service representative is responsible for providing high customer service by assisting customers on their inquiries and concerns, as well as resolving and escalating high-level complaints to the supervisor or tenured customer service representative. Associate customer service representatives also process orders and payments from the customers, replacing defective items, and issuing refunds as needed. They must have excellent communication and organizational skills, especially on handling data processing procedures to the database for reference to customer concerns.

There are some key differences in the responsibilities of each position. For example, membership representative responsibilities require skills like "enrollment processes," "membership sales," "customer relations," and "billing functions." Meanwhile a typical associate customer service representative has skills in areas such as "patients," "customer satisfaction," "sales floor," and "customer calls." This difference in skills reveals the differences in what each career does.

Provider relations specialists are professionals who work for insurance companies as the primary contact for health care providers such as clinics and hospitals. These specialists are required to provide answers about service contracts and billing procedures to health care providers. They must handle the documents of patients to ensure that proper paperwork has been filed for coverage while developing communications with providers about any policy changes. Provider relations specialists must also travel to different health care organizations to provide training to their staff on insurance policies and procedures.

While some skills are similar in these professions, other skills aren't so similar. For example, resumes show us that membership representative responsibilities requires skills like "enrollment processes," "membership sales," "customer relations," and "billing functions." But a provider relations representative might use other skills in their typical duties, such as, "provider relations," "patients," "health plan," and "powerpoint."

A provider services representative is responsible for supporting, developing, and maintaining service relationships with involved participants, including providers, physicians, and administrators. Your duties typically include responding to direct and electronic questions from clients about rates, policies, referrals, and eligibility, handling telephone calls for the provider and member inquiries, and resolving complaints by the member and member representative. In addition, you will be assisting in collecting supporting data and documentation about the member's care. You are also expected to conduct research to be able to provide a well-informed answer to members' inquiries.

The required skills of the two careers differ considerably. For example, membership representatives are more likely to have skills like "enrollment processes," "membership sales," "customer relations," and "billing functions." But a provider services representative is more likely to have skills like "patients," "health insurance," "appeals," and "cpt."

A senior customer service representative specializes in communicating with clients and providing them with the needed assistance. Aside from responding to calls and inquiries, a senior customer service representative must also perform basic administrative support tasks such as producing reports and necessary documentation, updating the database, and maintaining correspondence. With years of extensive expertise and knowledge, they are also responsible for leading and supervising a team of customer service representatives, all in the joint effort to secure customer satisfaction and reach sales targets.

Even though a few skill sets overlap between membership representatives and senior customer service representatives, there are some differences that are important to note. For one, a membership representative might have more use for skills like "enrollment processes," "membership sales," "customer relations," and "billing functions." Meanwhile, some responsibilities of senior customer service representatives require skills like "windows," "product knowledge," "quality standards," and "customer satisfaction. "