Remote Member Services Specialist

WVU Medicine; United States; Remote; USD 21,000 - 30,000; Full time

Job summary

PHH Peak Health Holdings in the United States seeks a Membership Services Representative to handle inbound calls from Peak Health members and outbound outreach as needed. You will investigate questions, verify member information, and collaborate with the Peak team to resolve issues.

The role emphasizes critical thinking, compassionate communication, and adherence to policies. A high school diploma and customer service experience in a call center are required, with preferred healthcare education.

Qualifications

• Two years of customer service experience in a call center.
• Associate degree preferred in related healthcare field.
• Proven communication and problem-solving abilities in healthcare settings.

Responsibilities

• Verify member information while addressing general questions.
• Respond to and resolve issues to ensure a seamless member experience.
• Maintain open channels of member communications and outbound outreach.
• Meet production and quality standards and manage work queues.
• Communicate effectively with internal and external staff.
• Escalate issues to supervision as needed.
• Attend required training and maintain timekeeping accuracy.
• Maintain accurate documents and records.

Skills

Customer service

Call center

Clear communication

Critical thinking

Healthcare insurance knowledge

Time management

Education

High School diploma or GED

Associate degree in healthcare (preferred)

Job description

PHH Peak Health Holdings in the United States seeks a Membership Services Representative to handle inbound calls from Peak Health members and outbound outreach as needed. You will investigate questions, verify member information, and collaborate with the Peak team to resolve issues.

The role emphasizes critical thinking, compassionate communication, and adherence to policies. A high school diploma and customer service experience in a call center are required, with preferred healthcare education.