Temporary Member Support Specialist – Health Insurance

Detego Health; United States; On-site; USD 29,000 - 33,000; Part time

Benefits offered by this job

401(k) matching

Health insurance

Paid time off

Vision insurance

Employee assistance program

Job summary

Detego Health is seeking a Temporary Customer Service Member Support Rep in the United States to act as the frontline member advocate, assisting with eligibility, benefits, claims, and billing while upholding HIPAA privacy standards.

The role focuses on health insurance navigation, member resources, and escalation of complex issues to Care Guides, working in a fast-paced, customer-first environment through February 2027 with potential extension or conversion to full-time.

Qualifications

• Excellent customer service, communication, active listening, conflict resolution, and de-escalation skills.
• Ability to work in a fast-paced, metrics-driven call center environment.
• Strong documentation, data entry, and CRM/case management system skills.
• Ability to educate members about benefits without providing medical advice.

Responsibilities

• Serve as the first point of contact for member inquiries via telephone, email, and other approved communication channels.
• Deliver a positive, professional, empathetic, and member-focused experience during every interaction.
• Verify member identity and protect confidential information in accordance with HIPAA and company privacy requirements.
• Educate members regarding eligibility, enrollment, benefits, claims, billing, provider networks, pharmacy benefits, prior authorizations, reimbursement programs, and available member resources.
• Research and resolve routine member inquiries using approved systems, knowledge bases, and internal resources.

Skills

Customer service

Communication

Active listening

De-escalation

CRM

Data entry

Analytical

Tools

Salesforce

Job description

Detego Health is seeking a Temporary Customer Service Member Support Rep in the United States to act as the frontline member advocate, assisting with eligibility, benefits, claims, and billing while upholding HIPAA privacy standards.

The role focuses on health insurance navigation, member resources, and escalation of complex issues to Care Guides, working in a fast-paced, customer-first environment through February 2027 with potential extension or conversion to full-time.