Supervisor, Member Services

Responsibilities

This position is responsible for supervising a customer service department that responds to inquiries from KelseyCare EPO and KelseyCare Advantage members and providers with revenue in excess of $18 million to the organization. The supervisor is responsible for enforcing work procedures to ensure productivity standards are met. Performing quality control and maintaining in a state of currency the department training manual and policies. The duties include generating, reviewing and reporting department statistics regarding telephone performance, overall complaint patterns and quality control activities for Member Service Representatives. The Supervisor also assists in provider and patient complaints as well as KelseyCare Concierge activities and reporting. The Supervisor is responsible for KelseyCare Medicare Advantage activities such as coordination and documentation of the health risk assessment. The position is responsible for ID Card generation and Member Satisfaction surveys for both the KelseyCare EPO and KelseyCare Advantage health plans.

Job Title: Supervisor, Member Services

Location: Pearland Administrative Office

Department: Mem Provd Serv

Job Type: Full Time

Salary Range: $59,108 - $73,025 (Pay is based on several factors including but not limited to education, work experience, certifications, etc.)

Qualifications

Education

Required: High School Diploma

Preferred: Bachelor's Degree

Experience

Required: 3-5 years managed care experience in a call center/member services environment

Extensive knowledge of plan benefits and various managed care products

Excellent analytical and problem solving skills and written/verbal communication skills

Demonstrated knowledge of CPT and ICD-9 coding

Preferred: Prior K-S managed care experience

Previous experience designing and managing call tracking system

Previous experience with Symposium phone system or other phone tracking system

Spanish Speaker

License(s)

Required: Valid Texas Driver's License and ability to travel throughout metropolitan Houston

Preferred: N/A

Special Skills

Required: Proficient with Microsoft Word, Access and Excel

Preferred: N/A

Other

Required: Ability to lift and move 25lbs. 100 feet

Preferred: Ability to work in a fast paced environment

demonstrated ability to perform multiple concurrent tasks with minimal supervision and meet deadlines

Working Environment: Office

About Us

Start your career journey and become a part of a community of renowned Healthcare professionals. Kelsey-Seybold Clinic is Houston's fastest growing, multispecialty organization with more than 40 premier locations and over 65 specialties. Our clinics are comprised of more than 600 physicians and as we continue to grow, our focus is providing quality patient care by adding to our team of clinical and non-clinical professionals that work together in a convenient, coordinated, and collaborative manner. Enjoy the rewards of a successful career while maintaining a work/life balance by joining our team today and changing the way health cares.

Why Kelsey-Seybold Clinic?

• Medical, Vision, and Dental

• Tuition Reimbursement

• Company Matching 401K

• Employee Reward and Recognition Program

• Paid time off for vacation, sick, and holidays

• Employee Assistance Program

• Continuing Medical Education allowance

Kelsey-Seybold Clinic strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by organizational policy or by federal, state, or local laws unless such distinction is required by law. Kelsey-Seybold is a VEVRAA Federal Contractor and desires priority referrals of protected veterans.