Member Services Representative - West Coast only

ArchWell Health • Las Vegas, NV

5d

About The Position

ArchWell Health is a healthcare provider focused on improving the lives of senior members through accessible neighborhood clinics and wellness-focused communities. The Member Services Representative contacts members and insurance partners to help members navigate healthcare, verify primary care physician assignment and eligibility, and support appointment scheduling. The role may also include managing provider data and verifying ArchWell Health provider information with insurance partners. The position calls for attention to detail, familiarity with the healthcare ecosystem, and a passion for helping seniors receive quality care.

Requirements

• Proficiency with PCs, Microsoft Office, and Excel.
• Passion for helping senior members successfully carry out care plans.
• Ability to work effectively with diverse populations, including staff, providers, members, family members, insurance carriers, vendors, and the public.
• Basic medical terminology knowledge.
• Understanding of Medicare Advantage.
• High school diploma or GED.
• At least one year of healthcare work experience, ideally related to benefits and insurance.

Nice To Haves

• Experience with eClinical Works or a similar electronic medical record system.

Responsibilities

• Contact members and insurance partners by phone to verify members are assigned to ArchWell Health and schedule appointments.
• Document all member and payer outreach appropriately.
• Help members resolve potential issues related to the healthcare system.
• Validate provider data on file with insurance partners.
• Use and update shared Excel spreadsheets to track membership and interactions.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED