Temporary Member Services Representative

Western Health Advantage; Sacramento (CA); In loco; USD 28.000 - 32.000; Tempo pieno

Descrizione del lavoro

Western Health Advantage in Sacramento, CA is seeking a Temporary Member Service Representative I to be the first point of contact for members, providers, brokers, and plan partners. You will handle benefits, claims, billing, referrals, and health plan services with responsiveness and professionalism.

The role is ideal for someone who enjoys helping others, communicates with empathy, and stays calm in a fast-paced call center.

Competenze

• High school diploma or equivalent.
• At least one year of call center experience.
• Healthcare or health plan experience preferred, especially within an HMO environment.
• Basic computer proficiency, including email, databases, word-processing programs, and spreadsheets.
• Strong verbal and written communication skills.
• Ability to listen carefully, ask appropriate questions, and clearly explain information.
• Strong customer service and problem-solving skills.
• Ability to manage difficult or emotional interactions with professionalism and empathy.
• Attention to detail in documenting member interactions.
• Ability to work independently and as part of a collaborative team.

Mansioni

• Respond to member inquiries regarding Commercial, Exchange, and Individual health plans by telephone, email, chat, or fax.
• Assist members, providers, brokers, and plan partners with claims-related billing questions and concerns.
• Collaborate with internal departments and external partners to resolve member issues within established timeframes.
• Accurately document and refer appeals and grievances according to department policies and procedures.
• Educate members about the Advantage Referral Program, WHA's website, and available online self-service tools.
• Provide courteous and professional assistance during difficult or emotionally sensitive interactions.
• Respond promptly to requests for service and follow through on commitments.
• Meet established department standards for quality, productivity, performance, and attendance.
• Immediately report system issues or emerging call trends to the Member Services Supervisor or Manager.
• Use tact, discretion, and courtesy when interacting with members, providers, colleagues, and the public.
• Perform additional duties and special projects as assigned.

Conoscenze

Customer service

Communication

Empathy

Active listening

Problem-solving

Teamwork

Formazione

High school diploma or equivalent

Strumenti

Email

Databases

Word processing

Spreadsheets

Descrizione del lavoro

Temporary Member Service Representative I

Western Health Advantage

Location: Sacramento, CA
Salary: $20.00-$23.00 Hourly
Position Type: Temporary, Full-Time
Temporary Assignment: 6 months

\"Purpose that inspires. Impact that improves lives. Join us in building healthier communities.\"
Western Health Advantage

As a Temporary Member Service Representative I, you will often be the first point of contact for Western Health Advantage members, providers, brokers, and plan partners. You will provide responsive, professional support while helping resolve questions related to benefits, claims, billing, referrals, and health plan services.

This role is ideal for someone who enjoys helping others, communicates with empathy, and can remain calm and solutions-focused in a fast-paced call center environment.

What You’ll Do

• Respond to member inquiries regarding Commercial, Exchange, and Individual health plans by telephone, email, chat, or fax.

• Assist members, providers, brokers, and plan partners with claims-related billing questions and concerns.

• Collaborate with internal departments and external partners to resolve member issues within established timeframes.

• Accurately document and refer appeals and grievances according to department policies and procedures.

• Educate members about the Advantage Referral Program, WHA's website, and available online self-service tools.

• Provide courteous and professional assistance during difficult or emotionally sensitive interactions.

• Respond promptly to requests for service and follow through on commitments.

• Meet established department standards for quality, productivity, performance, and attendance.

• Immediately report system issues or emerging call trends to the Member Services Supervisor or Manager.

• Use tact, discretion, and courtesy when interacting with members, providers, colleagues, and the public.

• Perform additional duties and special projects as assigned.

What You’ll Bring

• High school diploma or equivalent.

• At least one year of experience working in a call center.

• Previous healthcare or health plan experience, particularly within an HMO environment, is preferred.

• Basic computer proficiency, including experience using email, databases, word-processing programs, and spreadsheets.

• Strong verbal and written communication skills.

• Ability to listen carefully, ask appropriate questions, and clearly explain information.

• Strong customer service and problem-solving skills.

• Ability to manage difficult or emotional interactions with professionalism and empathy.

• Attention to detail and the ability to accurately document member interactions.

• Ability to speak, read, write, and understand the primary language used in the workplace.

• Ability to work effectively both independently and as part of a collaborative team.

Western Health Advantage is committed to providing equal employment opportunities to employees and applicants for employment on the basis of merit and without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, physical or mental disability, medical condition, genetic information, marital status, ancestry, military or veteran status, or any other basis made unlawful by federal or state law.

Western Health Advantage values and supports the unique talents and strengths that each employee brings to our organization. Collaborating with the best and the brightest means a dynamic, fulfilling work experience for you - and excellent customer service for our members.