Member Services Agent I

Vida Health; United States; Remote; USD 24,000 - 34,000; Full time

Job summary

Vida Health is seeking a dedicated Member Services Agent I for a remote-first role handling member inquiries with empathy and accuracy. You will assist with enrollment, app navigation and inquiries, while documenting interactions in our system and ensuring HIPAA compliance.

Expect opportunities to educate members about Vida program offerings, resolve issues, and contribute to continuous service improvements in a fast-paced environment.

Qualifications

• High school diploma or equivalent required.
• 2-3 years in customer service/call center, preferably healthcare.
• Strong verbal and written communication.

Responsibilities

• Outbound outreach to members to explain Vida program benefits.
• Take inbound calls to assess, enroll and answer service questions.
• Assist members with app navigation and status updates.
• Document all interactions in the Member Services system accurately and confidentially (HIPAA).
• Resolve concerns and escalate complex issues with timely follow-up.
• Support ongoing training, scripting improvements and quality monitoring.

Skills

Verbal communication

Written communication

Problem solving

Active listening

CRM familiarity

Ticketing systems

Remote work readiness

Fast-paced environment

Education

High school diploma or equivalent

Tools

CRM software

Ticketing systems

Job description

Operations – Member Services /Full Time- Non-Exempt Hourly /Remote

We are seeking a dedicated and highly customer-focused Member Services Agent I to join our healthcare organization. This role is responsible for handling member inquiries with professionalism, accuracy and empathy to ensure a seamless and high-quality customer experience. The ideal candidate will have exceptional problem-solving skills, a passion for service excellence and a commitment to delivering personalized and effective solutions through clear communication and responsiveness.

Responsibilities

• Outbound outreach to members who may or may not have heard of Vida via our phone system. Use Motivational interviewing and rapport building to explain the benefits of enrollment into Vida’s program, which is free to the member.
• Take in-bound calls from members to conduct assessments, answer questions related to services, assist with program enrollment based on interests and health goals and help members with app navigation, general inquiries or status updates related to prior phone or email interactions.
• Provide an exceptional customer experience by responding to member inquiries with professionalism, empathy and efficiency, while proactively identifying opportunities to educate and promote Vida program offerings that best meet member needs.
• Accurately document all member interactions and resolutions in the Member Services system, following established processes to maintain service integrity and transparency ensuring member confidentiality at all times according to HIPAA regulations.
• Proactively resolve member concerns by identifying solutions and escalating complex issues to the appropriate departments while ensuring timely follow-up and resolution with the member.
• Adhere to company protocols to ensure compliance with healthcare standards while prioritizing member satisfaction and quality service delivery, effectively addressing concerns and overcoming objections to provide clear, informed and reassuring solutions or program offerings.
• Support Member Services projects on an ad-hoc basis, including updating training, leading peer sessions or team meetings, brainstorming scripting improvements and quality monitoring working collaboratively with team members to enhance service quality, streamline processes and contribute to a culture of continuous improvement.
• Engage in ongoing training and professional development to sharpen service skills and stay informed on industry best practices.
• Champion the organization’s commitment to excellence by creating a welcoming, solutions-driven and member-focused service environment, ensuring that every member receives accurate, reliable and high-quality support.
• Consistently meet and exceed inbound and outbound Key Performance Indicators (KPIs) as well as other duties as assigned, demonstrating a commitment to responsiveness, accuracy and service excellence.

Qualifications

• High school diploma or equivalent required;
• Minimum 2-3 years of experience in a customer service or call center role, preferably within the healthcare industry.
• Strong verbal and written communication skills.
• Excellent problem-solving and active listening abilities.
• Proficiency in using CRM and ticketing systems.
• Ability to work efficiently in a fast-paced, member-focused environment.
• Strong Wi-Fi connectivity to function in a remote-first environment.

$21 - $21 an hour