Serving as a frontline ambassador for the health plan, the full-time Member Services Representative will deliver high-quality, resolution-focused support to members, providers, and brokers, handling inquiries across multiple healthcare offerings, including the Health Exchange and US Family Health Plan. Key responsibilities: Resolve member, provider, or broker inquiries during initial contact, ensuring first-call resolution and accurate documentation in the CRM Explain core benefits and eligibility, guiding members through the CHRISTUS website and their individual member portal Maintain performance expectations, including call handling metrics and participation in assigned projects to support team goals Required qualifications: High school diploma or GED is required Experience in customer service, preferably in healthcare, insurance, or a call center environment Basic proficiency in Microsoft Office Suite and ability to learn proprietary systems quickly Ability to work remotely with reliable internet access and adhere to remote work protocols Demonstrated understanding of member rights and responsibilities, maintaining HIPAA compliance during interactions
Member Services Representative in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.