Remote Healthcare Member Services Representative

REMOTE Healthcare Member Services Representative

MUST HAVE: Candidates must be physically located in EST to be considered

-Must have open availability 7 days a week from 8am-8pmEST

-High School Diploma or GED required.

-Minimum of 1–2 years of customer service experience, preferably in healthcare or insurance.

Description

Position Overview:

As a Member Services Representative, you will be the first point of contact for members seeking assistance with their health plan benefits, account status, and service-related inquiries. This is a high-impact role requiring empathy, attention to detail, and a commitment to delivering exceptional service.

Key Responsibilities:

-Respond to inbound calls and digital inquiries from members regarding benefits, claims, payments, and services.

-Resolve member concerns with professionalism and empathy, ensuring first-contact resolution whenever possible.

-Document all interactions accurately in the system according to compliance and procedural standards.

-Collaborate with internal departments and external partners (e.g., medical groups, facilities) to resolve complex issues.

-Meet or exceed performance metrics including call handling time, resolution rate, and customer satisfaction.

-Participate in ongoing training and coaching sessions to maintain up-to-date knowledge of products and procedures.

Start Date: August 18, 2025

Assignment Duration: 6 months (through February 18, 2026)

Schedule: Flexible shifts between 8:00 AM – 8:00 PM EST, 7 days a week. Training will be Monday-Friday 8a-4:15pEST

Additional Skills & Qualifications

-High School Diploma or GED required.

-Minimum of 1–2 years of customer service experience in healthcare required