Remote Health Plan Member Advocate

Randstad USA; Coeur d'Alene (ID); Remote; USD 25,000 - 35,000; Full time

Job summary

Randstad USA is seeking Remote Healthcare Member Services Representatives to support health plan members from a home office. You will be the primary contact, answering questions, guiding members, and resolving issues with empathy and accuracy.

This high-volume role emphasizes benefits, eligibility, ID card requests, claims questions, and HIPAA-compliant practices. Training is paid for 12 weeks, with a fixed schedule and weekend availability.

Qualifications

• 6+ months of call center or 2+ years of high-volume customer service experience.
• Must reside within 1-hour radius of Renton, WA or Spokane, WA.
• Dedicated home office with high-speed, reliable hardwired internet.
• Successful completion of a pre-employment skills assessment.
• Preferred experience in medical billing, health insurance, or healthcare customer service.

Responsibilities

• High-Volume Member Advocacy: Handle inbound calls with patience, professionalism, and empathy, guiding members through their healthcare journey.
• Benefits & Account Resolution: Act as a subject matter resource for benefit inquiries, eligibility confirmation, ID card requests, claims questions, and payment processing.
• Data Integrity & Heavy Entry: Navigate dual screens to update patient profiles, demographics, and encounter notes with 100% accuracy.
• Privacy & Regulatory Compliance: Maintain strict adherence to healthcare privacy laws (HIPAA) and internal operational guidelines across all member touchpoints.

Skills

Call center experience

High-volume customer service

Healthcare customer service

HIPAA compliance

Data entry accuracy

Job description

Randstad USA is seeking Remote Healthcare Member Services Representatives to support health plan members from a home office. You will be the primary contact, answering questions, guiding members, and resolving issues with empathy and accuracy.

This high-volume role emphasizes benefits, eligibility, ID card requests, claims questions, and HIPAA-compliant practices. Training is paid for 12 weeks, with a fixed schedule and weekend availability.