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Remote Healthcare Agent - Member Services | WFH

Remote, USA Full-time Posted 2025-05-22

Job Overview

We are seeking a compassionate and detail-oriented Healthcare Member Services Agent to join our dynamic team in a remote capacity. This role is pivotal in ensuring that our members receive exceptional care and support through multiple communication channels. If you are dedicated to providing outstanding service and thrive in a fast-paced environment, we invite you to explore this... opportunity.

Key Responsibilities
• Foster positive and supportive interactions with members through various communication methods.
• Clearly articulate services to members and secure their consent for participation in call initiatives.
• Coordinate care actions in accordance with established agreements with health plans and referring providers.
• Initiate prompt outreach to members, verify eligibility, and meticulously document all interactions in line with call center standards.
• Schedule appointments using our designated system to facilitate a smooth experience for members.
• Operate independently from your remote workstation, utilizing company-provided telecommunication systems.
• Adhere to HIPAA regulations and internal company policies during all activities.
• Perform additional tasks related to the call center as necessary.

Required Skills
• Completion of high school diploma or GED; additional college education or medical certification is advantageous.
• Prior experience in a call center or customer service role is preferred.
• Familiarity with medical terminology and member care is a plus.
• Bilingual candidates, particularly those fluent in Spanish, are highly regarded.
• Flexibility to work weekend shifts is an asset.
• Proficient in Microsoft Office Suite, especially Excel.
• Strong multitasking abilities, including the capacity to navigate multiple digital screens while maintaining accurate call documentation.
• Excellent communication skills, with an aptitude for building rapport and adjusting tone to meet caller needs.
• A proactive mindset with a commitment to problem-solving and continuous improvement.

Career Growth Opportunities

Joining our team provides avenues for professional advancement, allowing you to enhance your skills in a rapidly evolving field focused on member care and support.

Company Culture And Values

We pride ourselves on a collaborative and inclusive work environment that values exceptional customer service, teamwork, and a commitment to continuous improvement.

Compensation And Benefits
• Employer-sponsored Medical, Dental, and Vision premiums at no cost to you.
• Employer-funded Short-Term Disability and Life Insurance at no cost to you.
• 401(k) plan with employer matching to assist in your financial future.
• Generous paid time off policy, including 15 days of combined sick/vacation time and 9 holidays in your first year.
• Special recognition with a day off for your birthday.

If you are eager to make a significant impact in a supportive setting, we encourage you to apply today and join our team as a Healthcare Member Services Agent!

Employment Type: Full-Time

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