Position Overview
We are seeking a dedicated and customer-focused Member Services Representative to join a fast-paced healthcare support environment. In this role, you will act as a primary point of contact for members, providers, and health plans—helping to coordinate care and ensure a seamless healthcare experience.
This position begins within a call queue environment, where you will manage inbound calls from members, collect detailed information, and route requests to the appropriate departments. Accuracy, professionalism, and a strong commitment to customer service are essential to success in this role.
Key Responsibilities

+ Serve as the primary liaison between members, providers, and health plans

+ Handle inbound calls and respond to inquiries related to:

+ Claims

+ Referrals

+ Eligibility


+ Accurately document member interactions and capture detailed messages

+ Route inquiries and requests to appropria...