Member Service Representative

Elevait Solutions; Fountain Valley (CA); Hybrid; USD 30,307 - 31,684; Part time

Job summary

A healthcare services provider is seeking a Member Services Representative for a hybrid role in Fountain Valley, CA. The position involves assisting members through various communication channels and requires strong customer service and communication skills. Candidates must have a minimum of 2 years in a call center environment, proficiency in MS Word and Excel, and typing skills of at least 45 WPM. This role is a contract position lasting 2-3 months with an emphasis on member support and documentation.

Qualifications

• 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).

Responsibilities

• 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.

Skills

Customer Service & Member Support

Call Center/Transaction Processing

Communication & Documentation

Education

High School Diploma or GED

Tools

Microsoft Word

Microsoft Excel

Job description

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