Member Service Representative
Elevait Solutions, Fountain Valley, CA, United States
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
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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