Member Service Representatives

UnifyCX; San Antonio (TX); On-site; USD 21,000 - 29,000; Full time

Benefits offered by this job

Health insurance

Life insurance

Vision insurance

Dental insurance

401(k) with 4% match

Other financial opportunities

Job summary

UnifyCX is seeking a Customer Service Representative in San Antonio, TX to handle incoming calls from insured customers, providers, and brokers, resolving inquiries and issuing authorizations when eligible.

You will join a global team delivering healthcare support services with a focus on accuracy, empathy, and timely updates. This full-time role offers work-from-home arrangements within the San Antonio area, a comprehensive benefits package, and opportunities for growth.

Qualifications

• 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 data entry.
• Excellent customer service skills (friendly, courteous and helpful).
• Excellent interpersonal verbal and written communication skills.
• Ability to diffuse volatile situations, share information, and educate callers regardless of customer 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).

Responsibilities

• Receive, answer, and resolve calls from members, providers, and other external and internal constituents.
• Issue authorizations when eligible for services.
• Provide timely and accurate information regarding benefits, claims status, and other service details.
• Process customer claims according to established policies and procedures.
• Fulfill rapid call volume by handling the appropriate amount of incoming calls.
• Complete Provider Relations requests for service.
• Provide timely feedback regarding customer service failures and provider concerns.
• Partner with Sales and Provider Relations to meet and exceed customers’ expectations.
• Provide excellent customer service in a professional and courteous manner.
• Other duties as assigned by management.

Skills

Customer service

Call center

Health care/insurance knowledge

Bilingual English/Spanish

Job description

We’re always on the lookout for passionate individuals to help us shape the future of customer experience.

A culture that values collaboration, creativity, and diversity

Whether you’re directly engaging with clients or driving innovation in technology, you’ll find a culture at UnifyCX that values collaboration, creativity, and diversity and puts people at the core of everything we do. Our team members are empowered to bring their unique skills to the table, contributing to a company that’s leading the way in customer experience solutions.

With a presence across the United States, India, the Philippines, the Dominican Republic, Jamaica, Honduras, and Colombia, UnifyCX offers opportunities to work in dynamic markets around the world. No matter where you're based, you'll be part of a global network dedicated to delivering exceptional customer experiences.

Our Foundation: GlowTouch & Collective Solution

UnifyCX is born from the integration of GlowTouch, a global expert in customer care and technology outsourcing, and the strategic acquisition of Collective Solution, known for its customized service solutions.

Explore Opportunities

Position:Member Service Representatives

Location: San Antonio, TX

Job Id:4442

# of Openings:7

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 a transformative AI platform that empowers and enables teams to deliver efficient, exceptional customer experiences. We engineer superhuman customer experiences through a powerful blend of strategy, omnichannel support, analytics, and AI-driven tools like GoTalent.AI, Voice of Customer, and automatic QA. Our outcome-based model prioritizes measurable results for more than 200 client programs serviced today. With a focus on automation, talent enablement, strategic partnerships, and strict data ethics, UnifyCX delivers scalable, personalized, and compliant solutions that create real business impact.

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