Member Support Representative
About The Position
Are you passionate about helping people navigate their healthcare experience with confidence and clarity? Do you thrive in a fast‑paced environment where every interaction makes a meaningful impact? If so, this role is calling your name. We’re looking for a Member Support Representative who is ready to bring empathy, problem‑solving, and professionalism to every conversation—whether it’s over the phone, in writing, or in person. As a key voice of our organization, you will: Resolve member and provider complaints, inquiries, and service issues with accuracy and care. Provide clear, helpful information to members, prospective members, providers, employer groups, attorneys, brokers, and other representatives. Support individuals with a wide range of topics, including: Health plan coverage Claims and referrals Eligibility questions Appointment access Medical center service concerns Physician selection Fee quotes and patient billing Communicate across multiple channels—phone, email, and written correspondence—while maintaining a high level of professionalism.
Requirements
- 1+ year of high‑volume call center experience
- Previous work‑from‑home experience
- Experience in a regulated industry such as healthcare, insurance, banking, credit, or similar
Nice To Haves
- Call center experience in a healthcare or insurance environment
- Experience supporting medical or health plan members
Responsibilities
- Resolve member and provider complaints, inquiries, and service issues with accuracy and care.
- Provide clear, helpful information to members, prospective members, providers, employer groups, attorneys, brokers, and other representatives.
- Support individuals with a wide range of topics, including: Health plan coverage
- Claims and referrals
- Eligibility questions
- Appointment access
- Medical center service concerns
- Physician selection
- Fee quotes and patient billing
- Communicate across multiple channels—phone, email, and written correspondence—while maintaining a high level of professionalism.
Benefits
- Medical, dental & vision
- 401(k)/Roth
- Insurance (Basic/Supplemental Life & AD&D)
- Short and long-term disability
- Health and Dependent Care Spending Accounts (HAS & DCFSA)
- Transportation benefits
- Employee Assistance Program
- Time off/Leave (PTO, Vacation, or Sick Leave)
- Critical Illness, Accident, and Hospital
- 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)
- Health Spending Account (HSA)
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
