Member Service Representatives

UnifyCX; San Antonio (TX); Remote; USD 10,000 - 60,000; Full time

Job summary

UnifyCX is expanding and seeking enthusiastic Member Service Representatives to join our dynamic Work From Home team. In this role, you will provide exceptional support to insured customers, addressing their queries about claims and benefits. Bring your customer service expertise and join a leading company leveraging advanced AI technologies to enhance operational efficiency and customer experience.

Benefits

Health insurance

Life insurance

Vision insurance

Dental insurance

401K matching

Qualifications

• Two years of customer service or call center experience.
• Strong computer and technical skills for heavy data entry.
• Bilingual English/Spanish (a plus, not required).

Responsibilities

• Receive and resolve calls from insured customers and providers.
• Issue authorizations and handle claim inquiries.
• Provide excellent customer service to all callers.

Skills

Customer Service

Communication

Data Entry

Problem Solving

Job description

UnifyCX is growing and we are looking for experienced Member Service Representatives to join our motivated and ambitious Work From Home team!

Pay And Perks

• Base Pay: $18.00 per hour
• Location: This position will be Work From Home; however, you must reside in the San Antonio, TX area to be considered
• Job Type: Full Time

Hours of Operation: 8:00 am – 11:00 pm EST – 7 days a week.

Your schedule will be 8 hours within this time frame discussed during the interview process.

Additional Benefits: UnifyCX offers a comprehensive benefits package that includes health, life, vision, and dental insurance, as well as a 4% max matching 401K, and other financial opportunity options.

What Will You Do?

As a Member Service Representative, you will be responsible for receiving, answering, and/or resolving calls. These calls are from insured customers and their dependents, providers and their staff, employer/group staff, and brokers. You will use the company's claims/eligibility database to inquire on the status of claims, ID cards, addresses, and other issues as queried by the caller. You will also be the primary source for issuing authorizations when eligible for services.

In this position, you will:

• Provide timely and accurate information to basic incoming customer calls from members, providers, and other external and internal constituents including:
• Issuing authorizations
• Handling claim inquiries from providers and members
• Communicating correct information regarding accessibility, claims status, and other service-related calls
• Providing benefits information
• Processing customer claims according to established department policies and procedures
• Check voicemail boxes and handle requests for:
• I.D. cards
• Authorizations
• Customer Service questions and issues
• Fulfill rapid call volume by handling the appropriate amount of incoming calls
• Complete Provider Relations requests for service
• Provide feedback regarding customer service failures and/or concerns
• Partner with Sales and Provider Relations to meet and exceed customer expectations
• Provide excellent customer service and handle all customers professionally and courteously
• Other duties as assigned by management

Who You Are:

To be considered, candidates should have the following:

• Two years of customer service or call center experience
• Two years of experience in the healthcare or insurance industry (preferred)
• Strong computer and technical skills for heavy data entry
• Excellent customer service skills (friendly, courteous, helpful)
• Excellent communication skills (verbal and written)
• Ability to diffuse volatile situations and educate callers
• Understanding of health insurance or related industries
• Strong follow-up and execution skills
• Goal-oriented with ability to meet production standards
• Team-oriented and effective across departments
• Accurate data entry skills
• Good judgment and analytical skills
• Ability to manage multiple tasks and projects
• Skilled in customer interactions
• Bilingual English/Spanish (a plus, not required)

Who We Are:

UnifyCX is a global Business Process Outsourcing company with a presence in the U.S., Colombia, Dominican Republic, India, Honduras, and the Philippines. We provide contact centers, business processing, and technology outsourcing solutions worldwide. Over nearly two decades, we have grown from a small team to a global organization dedicated to supporting our international clients.

We leverage advanced AI technologies to enhance customer experience and operational efficiency. Our commitment to innovation makes us a trusted partner in helping businesses meet the demands of a global market with agility and precision.

UnifyCX is a certified minority-owned business and an EOE employer that welcomes diversity.