Member Services Advocate - Healthcare Benefits & Support

Providence; Renton (WA); On-site; USD 30,000 - 48,000; Full time

Benefits offered by this job

Comprehensive benefits

Job summary

Pacific Medical Centers is seeking a Member Services Representative in Renton, WA to serve as a trusted resource for military families and other members within US Family Health Plan. You will handle benefits, eligibility, referrals, claims, billing, and access to care via phone, email, and written correspondence.

In this frontline role, you will manage high volumes with accuracy and empathy, guide members through complaint and appeals processes, and collaborate with clinics and internal teams to

Qualifications

• 2 years of experience in healthcare field customer service.
• Post secondary education preferred.
• Call Center experience in healthcare setting preferred.

Responsibilities

• Respond to member and provider inquiries about benefits, eligibility, referrals, claims, and billing.
• Assist with appointment access and coverage options via phone and written channels.
• Guide members through complaint, grievance and appeals processes.
• Document interactions and track follow-ups in the system.

Skills

Healthcare experience

Call Center Experience

Education

Post secondary education

Job description

Pacific Medical Centers is seeking a Member Services Representative in Renton, WA to serve as a trusted resource for military families and other members within US Family Health Plan. You will handle benefits, eligibility, referrals, claims, billing, and access to care via phone, email, and written correspondence.

In this frontline role, you will manage high volumes with accuracy and empathy, guide members through complaint and appeals processes, and collaborate with clinics and internal teams to