Remote Member Services Specialist – Healthcare

Peak Health; Carolina (WV); Remote; USD 21,000 - 28,000; Full time

Job summary

PHH Peak Health Holdings seeks a Membership Services Representative to handle inbound member inquiries, provide accurate information, and resolve issues. The role involves outbound calls for issue resolution, collaboration with the management team, and adherence to policies and procedures.

Candidates should have strong communication and call-center experience, and be able to work remotely with reliable time management.

Qualifications

• Two years of customer service experience in a call center environment.
• Associate degree or greater in related healthcare field preferred.
• Experience with medical insurance services process is beneficial.

Responsibilities

• Answer inbound calls from Peak Health members and resolve issues.
• Research and resolve member questions with management and peers.
• Make outbound calls to gather information or provide issue resolution.
• Maintain accurate timekeeping records and meet production and quality standards.
• Communicate effectively with internal and external staff and escalate issues when needed.

Skills

Communication skills

Customer service

Telephone etiquette

Time management

Remote work capability

Multitasking

Attention to detail

Medical insurance knowledge

Education

High School diploma/GED

Associate degree in related healthcare field

Tools

Microsoft Office

EPIC

Outlook

Excel

Job description

PHH Peak Health Holdings seeks a Membership Services Representative to handle inbound member inquiries, provide accurate information, and resolve issues. The role involves outbound calls for issue resolution, collaboration with the management team, and adherence to policies and procedures.

Candidates should have strong communication and call-center experience, and be able to work remotely with reliable time management.