Member Service Representatives

UnifyCX; San Antonio (TX); Remote; Full time

Job summary

UnifyCX is hiring Member Service Representatives for a full-time, work-from-home position in San Antonio. You will provide support to customers regarding claims and eligibility while ensuring an excellent customer experience. Qualifications include two years of customer service experience and strong communication skills. This role offers competitive pay and a comprehensive benefits package.

Benefits

Health insurance

Life insurance

Vision insurance

Dental insurance

401K with 4% matching

Qualifications

• Two years customer service or call center experience.
• Strong computer skills for data entry.
• Excellent verbal and written communication.

Responsibilities

• Resolve customer calls and inquiries regarding claims and authorizations.
• Provide timely benefits information and handle high call volumes.
• Collaborate with Sales and Provider Relations teams.

Skills

Customer Service Skills

Technical Skills

Interpersonal Communication

Analytical Skills

Goal Oriented

Job description

1 week ago Be among the first 25 applicants

UnifyCXis growing and we are are looking for experiencedMember Service Representativesto join our motivated and ambitiousWork From Hometeam!

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 areato 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 aMember Service Representative, you will be responsible for receiving, answering, and/or resolving calls. These phone calls are from insured customers and their dependents, providers and their staff, employer/group staff, and brokers. TheMember Service Representative will use companies claims / eligibility database to inquire on the status of claims, ID cards, addresses, and other issues as queried by the caller. As a Member Service Representative, you are 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.
• Communicate the correct information regarding accessibility, claims status and other calls of a service nature.
• Providing benefits information.
• Process customer claims according to established department policies and procedures.
• Checking voicemail boxes and handling customer/provider 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 timely feedback to the company regarding customer service failures and/or customer/provider concerns.
• Partner with Sales and Provider Relations to meet and exceed customers’ expectations.
• Provide excellent customer service and handle all customers in a professional and courteous manner.
• Other duties as assigned by management.
  

Who You Are:

To be considered, candidates are expected to have the following:

• Two years customer service or call center experience.
• Two years of experience in the health care industry or insurance environment preferred.
• Strong computer and technical skills to support heavy key data entry.
• Excellent customer service skills (friendly, courteous and helpful).
• Excellent interpersonal verbal and written communication skills.
• The ability to diffuse volatile situations, share information, and educate callers regardless of customers level of understanding.
• Understanding of the health insurance or insurance industries.
• Strong execution and follow-up skills.
• Goal oriented with ability to meet production standards.
• Team orientation and ability to work effectively across functional areas of the company.
• Accurate and efficient data entry skills.
• Strong analytical skill and ability to demonstrate good judgment.
• Ability to coordinate multiple tasks and projects.
• Skilled in dealing with all customers in an efficient and effective manner.
• Bilingual English/Spanish (a plus but not required).
  
  

Who We Are:

UnifyCX is an emerging Global Business Process Outsourcing company with a strong presence in the U.S., Colombia, Dominican Republic, India, Honduras, and the Philippines. We provide personalized contact centers, business processing, and technology outsourcing solutions to clients worldwide. In nearly two decades, unifyCX has grown from a small team to a global organization with staff members all over the world dedicated to supporting our international clientele.

At UnifyCX, we leverage advanced AI technologies to elevate the customer experience (CX) and drive operational efficiency for our clients. Our commitment to innovation positions us as a trusted partner, enabling businesses across industries to meet the evolving demands of a global market with agility and precision.

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

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Other

• Industries

  Business Consulting and Services

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