Member Services Specialist

Irving, TX - USA

Monthly Salary: Not Disclosed

Posted on: 4 hours ago

Vacancies: 1 Vacancy

Job Summary

Job Title: Member Services Specialist - Onsite

Location: Irving TX United States
Work Type: Onsite
Work Hours: Monday to Friday 9:00 AM - 5:00 PM (CST)
Duration: Approximately 3 months (98 days)
Hourly Rate: $18.13/hr
Reward Amount: $2.33/hr

Job Summary:
The Member Services Specialist serves as a frontline ambassador for the health plan providing high-quality resolution-focused support to members providers and brokers. This role is responsible for managing both telephonic and in-person interactions assisting customers with healthcare and insurance-related inquiries and ensuring accurate documentation of all interactions. Specialists develop proficiency in core internal systems eligibility verification claims review and member account management.

Key Responsibilities:

Facilitate member and provider understanding of plan coverage and benefits by researching inquiries thoroughly and professionally.
Handle incoming and outgoing calls written correspondence and in-person member requests.
Document all customer interactions accurately in the system to maintain a clear audit trail.
Assist in training and retraining new and current employees as needed.
Triage requests to appropriate departments such as Utilization Management or Provider Relations.
Support first-call resolution for members providing guidance on portal navigation claims and account management.
Maintain a strong understanding of multiple lines of business and benefit structures.

Requirements:

High School Diploma or equivalent required.
Minimum of 2 years of customer service experience in healthcare insurance or call center environment.
Excellent communication and interpersonal skills.
Proficiency with Microsoft Word Excel and other relevant MIS systems.
Ability to document interactions accurately and clearly.
Strong problem-solving skills and attention to detail.

Skills:

Healthcare knowledge
Insurance knowledge
Member services support
Claims handling
Customer service excellence
Data entry and documentation

Required Skills:

MICROSOFT WORD

Job Title: Member Services Specialist - Onsite Location: Irving TX United StatesWork Type: OnsiteWork Hours: Monday to Friday 9:00 AM - 5:00 PM (CST)Duration: Approximately 3 months (98 days)Hourly Rate: $18.13/hrReward Amount: $2.33/hr Job Summary:The Member Services Specialist serves as a frontlin...

Job Title: Member Services Specialist - Onsite

Key Responsibilities:

Facilitate member and provider understanding of plan coverage and benefits by researching inquiries thoroughly and professionally.
Handle incoming and outgoing calls written correspondence and in-person member requests.
Document all customer interactions accurately in the system to maintain a clear audit trail.
Assist in training and retraining new and current employees as needed.
Triage requests to appropriate departments such as Utilization Management or Provider Relations.
Support first-call resolution for members providing guidance on portal navigation claims and account management.
Maintain a strong understanding of multiple lines of business and benefit structures.

Requirements:

High School Diploma or equivalent required.
Minimum of 2 years of customer service experience in healthcare insurance or call center environment.
Excellent communication and interpersonal skills.
Proficiency with Microsoft Word Excel and other relevant MIS systems.
Ability to document interactions accurately and clearly.
Strong problem-solving skills and attention to detail.