Member Services Representative (REMOTE)

A leading national healthcare organization is seeking detail-oriented, empathetic Customer Service Professionals to join their remote Member Services Team. In this high-volume role, you will serve as a primary point of contact for health plan members—navigating benefits, answering coverage inquiries, and delivering exceptional customer care while utilizing multi-screen technology.

This role begins as a 3-to-6-month contract with a strong likelihood of extension. Internal contract workers are actively encouraged to apply for permanent positions across the company, making this an ideal opportunity to get your foot in the door with a reputable industry leader while enjoying weekly pay and a 100% remote setup!

LOCATION: 100% Remote (Must reside within a 1-to-2-hour radius of Lowry Blvd in Denver, CO 80230 for equipment pickup and temporary on-site coverage during technical or power/internet outages)

POSITION TYPE: 3-to-6 Month Contract (Strong possibility of extension, with candidates actively encouraged to apply for permanent openings companywide)

COMPENSATION & SCHEDULE

• Training Pay: $21.63 / hour
• Post-Training Pay: $22.66 / hour
• Operating Hours: Must be flexible to work assigned 8-hour shifts within the operating window of Monday – Friday (7:00 AM – 9:30 PM MT) and Saturday – Sunday (7:00 AM – 9:00 PM MT).
• Schedule Structure: Schedules fluctuate during the initial training and nesting periods. Upon completion of training, candidates receive a set schedule (subject to advanced notice adjustments based on call volume).

KEY RESPONSIBILITIES

• Member Advocacy & Call Handling: Respond to a high volume of inbound calls from health plan members, resolving questions with empathy and professionalism.
• Benefits & Billing Assistance: Guide members through benefit coverage details, order replacement ID cards, verify eligibility, handle billing inquiries, and process payments.
• Real-Time Data Entry: Accurately update member records, patient profiles, and demographic details across multiple database platforms simultaneously.
• Compliance & Tracking: Maintain precise interaction logs and ensure full adherence to organizational guidelines and healthcare privacy standards across dual-screen setups.

QUALIFICATIONS & REQUIREMENTS

• Experience: Minimum of 1+ years of dedicated Call Center experience OR 1+ years of combined Healthcare and Customer Service experience (healthcare knowledge is a strong plus).
• Assessments & Screening: Must pass required skill assessments, background checks (criminal history and education verification), drug screening, and 7-year employment history verification.
• Technical & Multi-Screen Skills: Proven ability to navigate multiple computer databases and dual screens while actively conversing on the phone.
• Geographic & On-Site Requirement: Must reside within 1 to 2 hours of Denver, CO 80230. Candidates are required to pick up company-issued equipment in person and must be available to report on-site to the Denver facility if technical, power, or internet outages occur at their home office.