Healthcare Member & Provider Services Specialist

Independent Living Systems, llc; Fontana (CA); On-site; USD 40,000 - 55,000; Full time

Job summary

Independent Living Systems, LLC is hiring a Member & Provider Services Representative to be a vital link between members, healthcare providers and internal teams. You will handle high volumes of inbound/outbound calls, provide accurate information about services, schedule appointments, and resolve inquiries with empathy and efficiency.

The role emphasizes data accuracy, compliance with HIPAA, and collaboration across departments to ensure quality care for vulnerable populations.

Qualifications

• High School Diploma or GED required.
• Healthcare experience preferred.
• Experience in high-volume contact centers and handling inbound/outbound calls.
• Familiarity with data entry and accurate record keeping.
• Ability to work flexible hours and maintain professionalism.
• Strong interpersonal and communication skills with diverse populations.

Responsibilities

• Provide exceptional customer service to members and providers.
• Handle high volume inbound/outbound calls with professionalism and empathy.
• Identify needs, educate members, and strive for first-call resolution.
• Document call details and update records in center systems.
• Coordinate with internal teams to resolve issues and escalate when needed.
• Adhere to healthcare regulations, confidentiality, and QA standards.

Skills

Customer service

Active listening

Communication skills

Data entry

Multitasking

Flexibility

Education

Associate's degree

Tools

Microsoft Office Suite

Job description

Independent Living Systems, LLC is hiring a Member & Provider Services Representative to be a vital link between members, healthcare providers and internal teams. You will handle high volumes of inbound/outbound calls, provide accurate information about services, schedule appointments, and resolve inquiries with empathy and efficiency.

The role emphasizes data accuracy, compliance with HIPAA, and collaboration across departments to ensure quality care for vulnerable populations.