Base pay range
$22.00/hr - $23.00/hr Job Title
Member Services Representative Location
Fountain Valley, CA 92708 (Hybrid) Duration
2-3+ Months Job Type
Contract Note
Top 3 Keywords: 1- Managed Healthcare/Health Plan Customer Service 2- Member Grievances & Appeals Processing 3- Specialty Coding Certification Top Required Skills Customer Service & Member Support Call Center/Transaction Processing Communication & Documentation
Must-Have Skills
Minimum 2 years of experience in a transaction-based or call center environment Strong verbal and written communication skills Ability to build rapport and demonstrate empathy with members Basic computer skills (MS Word, Excel) Typing speed of 45 WPM Ability to multitask and meet productivity and quality standards Attention to detail and strong organizational skills Ability to maintain confidentiality (HIPAA compliance)
Key Responsibilities and Duties
Serve as the primary point of contact for members via phone, email, internet, and written correspondence Document and track member, provider, and sponsor interactions accurately Educate members on benefits, policies, rights, and responsibilities Process member grievances, appeals, and service requests Review member claims history to ensure accurate benefit tracking
Requirements
High School Diploma or GED (required) 2+ years of call center or transaction-based experience Typing speed of at least 45 words per minute Basic proficiency with Microsoft Word and Excel Specialty coding certification (required)
Seniority level
Associate
Employment type
Contract
Job function
Health Care Provider
Industries
Hospitals and Health Care
#J-18808-Ljbffr
$22.00/hr - $23.00/hr Job Title
Member Services Representative Location
Fountain Valley, CA 92708 (Hybrid) Duration
2-3+ Months Job Type
Contract Note
Top 3 Keywords: 1- Managed Healthcare/Health Plan Customer Service 2- Member Grievances & Appeals Processing 3- Specialty Coding Certification Top Required Skills Customer Service & Member Support Call Center/Transaction Processing Communication & Documentation
Must-Have Skills
Minimum 2 years of experience in a transaction-based or call center environment Strong verbal and written communication skills Ability to build rapport and demonstrate empathy with members Basic computer skills (MS Word, Excel) Typing speed of 45 WPM Ability to multitask and meet productivity and quality standards Attention to detail and strong organizational skills Ability to maintain confidentiality (HIPAA compliance)
Key Responsibilities and Duties
Serve as the primary point of contact for members via phone, email, internet, and written correspondence Document and track member, provider, and sponsor interactions accurately Educate members on benefits, policies, rights, and responsibilities Process member grievances, appeals, and service requests Review member claims history to ensure accurate benefit tracking
Requirements
High School Diploma or GED (required) 2+ years of call center or transaction-based experience Typing speed of at least 45 words per minute Basic proficiency with Microsoft Word and Excel Specialty coding certification (required)
Seniority level
Associate
Employment type
Contract
Job function
Health Care Provider
Industries
Hospitals and Health Care
#J-18808-Ljbffr