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Job summary
A healthcare services provider is seeking a Member Services Representative for a hybrid role in Fountain Valley, CA. The position involves assisting members through various communication channels and requires strong customer service and communication skills. Candidates must have a minimum of 2 years in a call center environment, proficiency in MS Word and Excel, and typing skills of at least 45 WPM. This role is a contract position lasting 2-3 months with an emphasis on member support and documentation.
Qualifications
Minimum 2 years of experience in a transaction-based or call center environment.
Strong verbal and written communication skills.
Ability to build rapport and demonstrate empathy with members.
Basic computer skills (MS Word, Excel).
Typing speed of 45 WPM.
Ability to multitask and meet productivity and quality standards.
Attention to detail and strong organizational skills.
Ability to maintain confidentiality (HIPAA compliance).
Responsibilities
Serve as the primary point of contact for members via phone, email, internet, and written correspondence.
Document and track member, provider, and sponsor interactions accurately.
Educate members on benefits, policies, rights, and responsibilities.
Process member grievances, appeals, and service requests.
Review member claims history to ensure accurate benefit tracking.
Skills
Customer Service & Member Support
Call Center/Transaction Processing
Communication & Documentation
Education
High School Diploma or GED
Tools
Microsoft Word
Microsoft Excel
Job description
A healthcare services provider is seeking a Member Services Representative for a hybrid role in Fountain Valley, CA. The position involves assisting members through various communication channels and requires strong customer service and communication skills. Candidates must have a minimum of 2 years in a call center environment, proficiency in MS Word and Excel, and typing skills of at least 45 WPM. This role is a contract position lasting 2-3 months with an emphasis on member support and documentation.