Remote Member Services Processing Specialist

General Dynamics Information Technology, Inc.; United States; Remote; USD 32,000 - 43,000; Full time

Benefits offered by this job

401K with company match

Comprehensive health and wellness

Paid vacation and holidays

Job summary

General Dynamics Information Technology, Inc. is seeking a Member Services Processing Specialist to support the World Trade Center Health Program in a remote capacity.

The role focuses on reviewing, validating, and processing member applications, certifications, transfers, and service requests with accuracy and timeliness. You will work closely with supervisors and cross-functional teams, maintain high-quality case notes, and ensure HIPAA privacy requirements are met while handling PII/PHI.

Qualifications

• High School Diploma or equivalent.
• 1–3 years of processing, administrative support, data entry, customer service, or a related operational role.
• Strong written and verbal communication skills.
• Location: Remote; able to obtain and maintain a Public Trust.

Responsibilities

• Process enrollment applications, documentation, certifications, transfers, appeals, and designated representative appointments and updates in accordance with program policies, SOPs, and federal requirements.
• Review member-submitted materials for completeness, accuracy, and eligibility, ensuring all required data is properly captured and validated.
• Analyze documentation submitted with the application and assess if the submission meets the requirements of program enrollment.
• Perform data entry and record updates within member services tools—including digital mail center systems, entry portal, and intelligent document processing platforms—ensuring timely routing and processing of member documentation.
• Maintain accurate and high-quality case notes, documentation, and processing records for program review, compliance, and audit readiness.
• Communicate professionally with members, providers, and internal stakeholders regarding documentation requirements, missing information, or status updates.
• Escalate complex or ambiguous cases to the Member Services Processing Supervisor for review and guidance.
• Adhere to HIPAA and program privacy requirements when handling PII/PHI.
• Support quality assurance activities by identifying errors, trends, or potential improvements and providing feedback to leadership.
• Participate in cross-training and process updates to ensure efficient support across multiple workflows, including enrollment, record updates, appeals routing, and member correspondence.
• Contribute to continuous improvement efforts by providing insight into workflow challenges, system issues, or enhancement opportunities.

Skills

Collaboration

Customer Problem Solving

Customer Service

Microsoft Applications

Multitasking

Education

High School Diploma or equivalent

Job description

General Dynamics Information Technology, Inc. is seeking a Member Services Processing Specialist to support the World Trade Center Health Program in a remote capacity.

The role focuses on reviewing, validating, and processing member applications, certifications, transfers, and service requests with accuracy and timeliness. You will work closely with supervisors and cross-functional teams, maintain high-quality case notes, and ensure HIPAA privacy requirements are met while handling PII/PHI.