Temporary Member Support Specialist

Western Health Advantage; Sacramento (CA); On-site; USD 28,000 - 32,000; Full time

Job summary

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.

Qualifications

• 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.

Responsibilities

• 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.

Skills

Customer service

Communication

Empathy

Active listening

Problem-solving

Teamwork

Education

High school diploma or equivalent

Tools

Email

Databases

Word processing

Spreadsheets

Job description

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.