Member Services & Care Access Specialist

ArchWell Health; Charlotte (NC); On-site; USD 32,000 - 42,000; Full time

Job summary

ArchWell Health is seeking a Member Services Representative in Charlotte, NC, to help seniors navigate the healthcare system and confirm PCP assignment and eligibility. The role involves outreach to members and insurers, documentation, and data validation with partners.

Strong Excel and MS Office skills are essential, plus a compassionate, detail-oriented approach. The candidate should have at least one year in healthcare and familiarity with Medicare Advantage, with EMR experience (eClinical

Qualifications

• High school diploma or GED required.
• At least 1 year in healthcare, benefits and insurance preferred.
• Experience with EMR systems (eClinical Works) is a plus.

Responsibilities

• Outreach to members and insurance partners to verify enrollment and schedule appointments.
• Document all member and payor outreach activities.
• Assist members in problem solving within the healthcare system.
• Validate provider data on file with insurance partners.
• Utilize Excel to track membership and interactions.

Skills

Microsoft Office

Excel

Communication

Customer service

Medicare Advantage

Attention to detail

Education

High school diploma or GED

Tools

eClinical Works

Job description

ArchWell Health is seeking a Member Services Representative in Charlotte, NC, to help seniors navigate the healthcare system and confirm PCP assignment and eligibility. The role involves outreach to members and insurers, documentation, and data validation with partners.

Strong Excel and MS Office skills are essential, plus a compassionate, detail-oriented approach. The candidate should have at least one year in healthcare and familiarity with Medicare Advantage, with EMR experience (eClinical