Member Services Respresentative

Job Opportunity: Member Service Representative

Location: Akron, OH

Duration:12 Months (Possibility of Extension or Full-Time Hire)

About The Role

We are looking for a **Member Service Representative** who is passionate about delivering exceptional customer service and supporting members with their healthcare needs. In this role, you will handle inquiries related to enrollment, benefits, billing, and claims while ensuring a seamless and positive member experience.

Key Responsibilities

• Provide personalized support via phone, email, or in-person interactions
• Assist members with **enrollment, eligibility, benefits, billing, claims, and authorizations**
• Accurately document interactions and ensure proper follow-up
• Meet or exceed **quality and productivity standards**
• Handle concerns with empathy, professionalism, and a customer-first mindset
• Collaborate with internal teams for timely issue resolution
• Maintain compliance with healthcare regulations and company policies
  
  

Required Qualifications

Education:**

• High School Diploma or GED required
• College coursework preferred
  
  

Experience

• 1 year of relevant experience
• Call center or administrative customer service background required
• Medicare or health insurance experience **strongly preferred**
  
  

Skills & Competencies

• Strong communication (verbal & written)
• Knowledge of customer service best practices
• Proficiency in **Windows-based systems**
• Ability to handle confidential information securely
• Strong multitasking and time management skills
• Comfortable working in a fast-paced, call center environment
• Experience with systems like **Amisys, Macess (preferred)**
• Ability to work independently and solve problems effectively