Temporary MSR Representative

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

Job summary

Western Health Advantage is seeking a Temporary Member Service Representative I in Sacramento, CA. You will be the first contact for members, providers, brokers, and plan partners, addressing benefits, claims, billing, referrals, and services.

The role emphasizes empathetic communication, problem-solving, and accurate documentation in a fast-paced call center. A 6-month assignment with hourly pay is offered for those who meet the requirements.

Qualifications

• High school diploma or equivalent.
• At least one year in a call center.
• Healthcare experience in HMO environment preferred.
• Strong written and verbal communication.
• Proficiency with basic computer apps (email, databases, word processing, spreadsheets).
• Ability to listen, ask questions, and clearly explain information.
• Strong customer service and problem-solving skills.
• Ability to handle difficult interactions with professionalism and empathy.
• Attention to detail and accurate documentation.
• Ability to work independently and in a team.

Responsibilities

• Respond to member inquiries by telephone, email, chat, or fax regarding Commercial, Exchange, and Individual health plans.
• Assist with claims-related billing questions and concerns.
• Collaborate with internal departments and external partners to resolve issues within timeframes.
• Document and refer appeals and grievances per policies.
• Educate members about the Advantage Referral Program and online self-service tools.
• Provide courteous assistance during emotionally sensitive interactions.
• Respond promptly to service requests and follow through on commitments.
• Meet department quality, productivity, and attendance standards.
• Report system issues or trends to supervision.
• Interact with tact and courtesy.

Skills

Call center

Customer service

Communication

Empathy

Documentation

Education

High school diploma or equivalent

Tools

Email

Databases

Word processing

Spreadsheets

Job description

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.