Hybrid Health Plan Member Support Specialist

LHH; Sacramento (CA); Hybrid; USD 42,000 - 62,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Short-term disability

401K plan

Commuter benefits

Employee assistance program

Job summary

LHH is seeking a friendly Member Services Representative to support health plan members, providers, and brokers in a fast-paced call center. You will answer questions about benefits and claims, research concerns, and collaborate with internal teams to ensure accurate, timely support.

This hybrid role requires a High School Diploma and at least 2 years in healthcare call center environments; bilingual candidates are encouraged.

Qualifications

• At least 2 years of call center experience in healthcare or health insurance.
• Comfortable in a fast-paced environment with high volume.
• Bilingual candidates are encouraged to apply (English plus another language).

Responsibilities

• Assist members and providers with questions about benefits, claims, policies, and procedures.
• Research and resolve member concerns, including time-sensitive issues.
• Help with claims and billing questions.
• Document and refer appeals and grievances accurately.
• Educate members on referral programs and self-service tools.
• Collaborate with internal teams to resolve issues within timeframes.
• Provide calm, professional support during difficult interactions.

Skills

Call center experience

Healthcare knowledge

Bilingual

Basic computer skills

Education

High School Diploma or equivalent

Tools

Salesforce

Genesis

Job description

LHH is seeking a friendly Member Services Representative to support health plan members, providers, and brokers in a fast-paced call center. You will answer questions about benefits and claims, research concerns, and collaborate with internal teams to ensure accurate, timely support.

This hybrid role requires a High School Diploma and at least 2 years in healthcare call center environments; bilingual candidates are encouraged.