Remote Member Services Processing Specialist

General Dynamics Information Technology; United States; Remote; USD 29,000 - 40,000; Full time

Benefits offered by this job

Flexible work arrangements

Comprehensive benefits

Job summary

General Dynamics Information Technology is hiring a Member Services Processing Specialist to support day‑to‑day operations in a federal health program environment. You will review, validate, and process member applications, certifications, transfers, and service requests, ensuring accuracy, compliance, and timely workflow across multiple teams.

The role requires 1+ years of related experience, strong communication, and meticulous data handling.

Qualifications

• High School Diploma or equivalent.
• 1–3 years of experience in processing, administrative support, data entry, customer service, or a related operational role.
• Strong written and verbal communication skills.
• Ability to follow detailed procedures, meet deadlines, and adapt to changing priorities.
• Strong attention to detail with the ability to analyze documentation to determine if it meets program requirements.

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

Tools

ServiceNow

CXone

Job description

General Dynamics Information Technology is hiring a Member Services Processing Specialist to support day‑to‑day operations in a federal health program environment. You will review, validate, and process member applications, certifications, transfers, and service requests, ensuring accuracy, compliance, and timely workflow across multiple teams.

The role requires 1+ years of related experience, strong communication, and meticulous data handling.