Member Service Representative

Pacer Group; United States; Remote; USD 22,000 - 31,000; Part time

Benefits offered by this job

Medical

Dental

Vision

401(k)

Job summary

Pacer Group is seeking a Healthcare Customer Service Representative for a remote, contract position in the United States. The role focuses on benefits eligibility, claims status, and other healthcare inquiries within a full-service call center environment.

You will need strong communication, active listening, and problem-solving skills to ensure complete resolution and minimize follow-up calls.

Qualifications

• Experience in healthcare or member services is preferred.
• Strong communication and listening abilities required.
• Ability to investigate and resolve inquiries with follow-through.

Responsibilities

• Handle inbound member questions about benefits eligibility and claims.
• Document calls and verify demographics using standard systems.
• Identify caller needs through active listening and provide reassurance.
• Escalate crisis calls per SOP and follow up to resolution.
• Be capable of multitasking across multiple systems during calls.

Skills

Active listening

Problem-solving

Communication skills

Multitasking

Tools

CRM software

Job description

Job Title: Member Service Representative

Location: Remote in US

Work Arrangement: Remote

Employment Type: Contract

Duration: 6 Months with the possibility of extension

Pay Rate: $19.32/hr W2

Application Deadline: Last date for receipt of applications Oct 25, 2026

Job Description:

We are seeking a Healthcare Customer Service Representative to support members with benefits eligibility, claims status, and other healthcare-related inquiries. This is a full-service call center role requiring strong communication, active listening, problem-solving, and follow-through to ensure member concerns are fully resolved.

Note: Working hours would be in PST.

Responsibilities:

• This is a full function call center role that goes above and beyond just answering incoming calls. The goal is to help achieve what the member’s needs, so they do not have to call back for the same question. This requires additional investigation during and after a call has ended and following through to ensure the members’ questions are being answered and completed correctly. Will require multi-tasking with multiple systems, databases and link resources.
• Incoming calls depend on business needs, no set amount as quality is the importance for this particular call center team
• Answer incoming healthcare contact center calls from members regarding benefits eligibility/claims status
• Gather and verify demographic information and document calls using standard computer software and systems
• Use tools and apply problem-solving skills to identify immediate caller needs, including potential crisis calls; elevate crisis calls according to standard operating procedures
• Use verbal and written communication strategies to effectively elicit information, gain confidence from caller and provide reassurance
• Answer inbound call and make outbound calls according to department policies and procedures
• Use active listening skills and interviewing techniques to accurately identify caller’s presenting concerns

BENEFITS

• Medical
• Dental
• Vision
• 401(k)

EEOC Compliance:

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment.

DISCLAIMER

AI Usage Policy: Pacer Group uses AI to assist in screening applications. Final hiring decisions are made by human recruiters based on qualifications and experience.