Healthcare Member Service Representative

TEKsystems•Los Angeles, CA

4d•$23 - $23•Onsite

About The Position

We are seeking a Member Services Representative to support members and health plans through high-volume inbound calls. This role is ideal for individuals who thrive in a fast-paced healthcare call center environment, enjoy problem-solving, and deliver empathetic, high-quality customer service. You’ll play a key role in ensuring a seamless member experience by assisting with eligibility, referrals, authorizations, and general inquiries while maintaining accuracy and compliance.

Requirements

Customer Service (call center or phone-based support)
Data Entry & Documentation Accuracy
Medical Terminology Knowledge
Healthcare Industry Experience
Eligibility & HMO Insurance Knowledge
A strong customer-first mindset with a passion for helping others
Ability to stay calm and professional in high-volume situations
Excellent verbal and written communication skills
Strong organizational skills and attention to detail
Reliability and a commitment to accuracy
Interest in growing within the healthcare field

Nice To Haves

Healthcare call center experience
Medical office or front/back office support
Help desk or customer support experience
Strong attention to detail
Bilingual (preferred)

Responsibilities

Manage 45–50+ inbound calls per day from members and health plans
Accurately document all interactions to meet productivity and compliance standards
Assess caller needs and provide resolution or escalate when appropriate
Utilize internal systems and workflows to support: Eligibility and benefits verification, Referral and authorization status, Provider availability and coordination, General service inquiries
Update member demographics and maintain accurate records
Ensure strict HIPAA compliance and confidentiality at all times
Complete administrative tasks (faxing, scanning, data entry, filing)
Deliver professional, clear, and empathetic communication in every interaction