What are the responsibilities and job description for the Member Services Rep position at Elevait Solutions?
Job Title: Member Services Rep
Location: Fountain Valley CA
Duration: 2 Months
Job Type: Contract
Rate: $24.64
Note: Top 3 Keywords: 1- Managed Healthcare/Health Plan Customer Service 2. Member Grievances & Appeals Processing 3. Specialty Coding Certification
Top Required Skills
- Customer Service & Member Support
- Call Center/Transaction Processing
- Communication & Documentation
Must-Have Skills:
- Minimum 2 years of experience in a transaction-based or call center environment
- Strong verbal and written communication skills
- Ability to build rapport and demonstrate empathy with members
- Basic computer skills (MS Word, Excel)
- Typing speed of 45 WPM
- Ability to multitask and meet productivity and quality standards
- Attention to detail and strong organizational skills
- Ability to maintain confidentiality (HIPAA compliance)
Nice-to-Have Skills:
- Experience in a managed healthcare or health plan environment
- Bilingual Spanish/English
- Bachelor’s degree
- Experience handling grievances, appeals, or pre-authorizations
Key Responsibilities and Duties:
- Serve as the primary point of contact for members via phone, email, internet, and written correspondence
- Document and track member, provider, and sponsor interactions accurately
- Educate members on benefits, policies, rights, and responsibilities
- Process member grievances, appeals, and service requests
- Support multiple service queues (Claims, Medical Management, Provider Services)
- Review member claims history to ensure accurate benefit tracking
Requirements:
- High School Diploma or GED (required)
- 2 years of call center or transaction-based experience
- Typing speed of at least 45 words per minute
- Basic proficiency with Microsoft Word and Excel
- Specialty coding certification (required)
Elevait Solutions is a disabled-veteran owned staffing and workforce solutions company built on purpose, integrity, and impact. We believe work should mean more than just a paycheck; it should fuel passion, growth, and fulfillment. That’s why we partner closely with both clients and job seekers to create connections that truly fit, not just fill a role.
Instead of forcing a match, we take the time to understand what drives each person and each organization, ensuring alignment that lasts. Our mission is to help people find careers that make them excited to show up every day—because when people love what they do, everyone wins.
From empowering veterans and transitioning service members to supporting underrepresented communities, Elevait Solutions is redefining what it means to build a career with purpose. We’re not just filling jobs, but we’re changing lives and strengthening teams that drive real results.
Salary : $25