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Lisa Hing, Human Resources
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Caidan Management Company is currently seeking two Member Services Representatives for the Member Services Department. 

Responsibilities to include:

• Educate members and providers on members benefits, rights and responsibilities
• Educate members and providers on HPM policies and procedures regarding access to care, grievance and appeal process and eligibility process.
• Act as a liaison between providers and members on all issues.
• Work with all HPM departments to ensure member satisfaction and timely resolution of grievances and appeals.
• Utilize the database used to track and trend all provider and member inquiries, concerns, and complaints and appeals appropriately.
• Remain updated on all member and provider policy changes made by HPM or the State of Michigan.
• Mail member ID cards, educational postcards and all other member information as needed.
• Welcome new members to HPM monthly and ascertain member medical needs to ensure a smooth transition to the HPM network.

High School Diploma required.  Six months to one year of customer service experience or related health care industry experience. Basic knowledge of managed care or Medicaid programs helpful. Excellent verbal and written communication skills. Basic computer skills. Ability to be patient, courteous, and polite to all members and providers in all situations.  Must be capable of successfully completing the Member Services two-week training course.

Position Reports To: Manager of Member Services