CHRISTUS Health
Member Service Specialist
Fulltime onsite role in Irving Texas with no nights or weekends!
Notes: 2 years of customer service experience in healthcare insurance or related in call center environment or high volume inbound call setting.
Base pay range $19.00/hr - $19.00/hr
Responsibilities
The Member Services Specialist serves as a frontline ambassador for the health plan, delivering high-quality, resolution-focused support to members, providers, and brokers across multiple lines of business. As the initial point of contact, this role extends beyond basic call handling—Specialists are trained to navigate the foundational pillars of our healthcare offerings, including the Health Exchange, US Family Health Plan, and NCHD, with a strong emphasis on first-call resolution. Specialists develop working knowledge of benefit structures, assist callers with portal navigation and access, and begin interpreting claims activity to support both member and provider inquiries.
This position blends customer service excellence with technical skill-building, offering exposure to internal systems, regulatory protocols, and cross-functional workflows. Specialists are expected to gain proficiency in core platforms used for eligibility verification, claims review, and member account management (e.g., HSP, HPS, HealthTrio). All interactions must be documented with a clear and concise recap of the call's purpose.
Requirements Must pass National and Federal background check and Education verification - HS Diploma/GED minimum.
Seniority level Mid-Senior level
Employment type Contract
Job function Customer Service
Industries Hospitals and Hospitality
Referrals increase your chances of interviewing at CHRISTUS Health by 2x.
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Notes: 2 years of customer service experience in healthcare insurance or related in call center environment or high volume inbound call setting.
Base pay range $19.00/hr - $19.00/hr
Responsibilities
The Member Services Specialist serves as a frontline ambassador for the health plan, delivering high-quality, resolution-focused support to members, providers, and brokers across multiple lines of business. As the initial point of contact, this role extends beyond basic call handling—Specialists are trained to navigate the foundational pillars of our healthcare offerings, including the Health Exchange, US Family Health Plan, and NCHD, with a strong emphasis on first-call resolution. Specialists develop working knowledge of benefit structures, assist callers with portal navigation and access, and begin interpreting claims activity to support both member and provider inquiries.
This position blends customer service excellence with technical skill-building, offering exposure to internal systems, regulatory protocols, and cross-functional workflows. Specialists are expected to gain proficiency in core platforms used for eligibility verification, claims review, and member account management (e.g., HSP, HPS, HealthTrio). All interactions must be documented with a clear and concise recap of the call's purpose.
Requirements Must pass National and Federal background check and Education verification - HS Diploma/GED minimum.
Seniority level Mid-Senior level
Employment type Contract
Job function Customer Service
Industries Hospitals and Hospitality
Referrals increase your chances of interviewing at CHRISTUS Health by 2x.
Get notified about new Member Service Representative jobs in
Irving, TX .
#J-18808-Ljbffr