Seasonal Member Service Representative (Work from Home)

Remote Full-time
We're seeking a highly skilled and motivated Seasonal Member Service Representative to join our dynamic team at GlowTouch, a UnifyCX company. As a remote worker, you will provide exceptional customer service to our clients, handling incoming calls, and resolving queries in a timely and professional manner. If you have a passion for delivering outstanding customer experiences and thrive in a fast-paced environment, we want to hear from you!
Job Summary:
In this role, you will be responsible for receiving, answering, and resolving calls from insured customers, providers, and other stakeholders. You will utilize our claims and eligibility database to inquire about claim status, ID cards, addresses, and other issues. As a primary point of contact, you will issue authorizations, handle claim inquiries, and provide benefits information to customers. Your excellent communication and interpersonal skills will enable you to diffuse volatile situations, share information, and educate callers, ensuring a positive experience for all customers.
Key Responsibilities:

Provide timely and accurate information to customers, including issuing authorizations, handling claim inquiries, and communicating benefits information
Process customer claims according to established department policies and procedures
Check voicemail boxes and handle customer/provider requests for ID cards, authorizations, and customer service questions
Fulfill rapid call volume by handling a high volume of incoming calls
Complete Provider Relations requests for service and provide timely feedback to the company regarding customer service failures and/or customer/provider concerns
Partner with Sales and Provider Relations to meet and exceed customer expectations
Provide excellent customer service, handling all customers in a professional and courteous manner

Requirements:

2+ years of customer service or call center experience
2+ years of experience in the healthcare industry or insurance environment (preferred)
Strong computer and technical skills to support heavy key data entry
Excellent customer service skills, including friendly, courteous, and helpful demeanor
Excellent interpersonal verbal and written communication skills
Ability to diffuse volatile situations, share information, and educate callers
Understanding of the health insurance or insurance industries
Strong execution and follow-up skills, with the ability to meet production standards
Team-oriented, with the ability to work effectively across functional areas of the company
Accurate and efficient data entry skills, with strong analytical skills and good judgment
Bilingual skills (helpful)

What We Offer:

Competitive salary and comprehensive benefits package, including health, life, vision, and dental insurance
4% max matching 401K and other financial opportunity options
Opportunity to work with a dynamic and growing company
Flexible scheduling, with the ability to select an 8-hour schedule within our operating hours (8:00 am - 11:00 pm EST, 7 days a week)
Professional development and career growth opportunities

Company Culture:

How to Apply:
If you're a motivated and customer-focused individual, please submit your application to join our team as a Seasonal Member Service Representative. Apply Now

Apply Now

Apply Now →

Similar Jobs

Experienced Registered Behavior Technician for In-Home ABA Therapy - Atlanta, GA

Remote

Immediate Hiring: Experienced Registered Behavioral Technician (RBT) for Clinic-Based ABA Therapy Services

Remote

Experienced Registered Behavioral Technician (RBT) - ABA Therapy for Children with Autism Spectrum Disorder

Remote

Experienced Registered Nurse - Telehealth: Providing Remote Care Coordination and Patient Support

Remote

Experienced Substitute Teacher for Riverside County Schools - Join Scoot Education's Innovative Team

Remote

Experienced Substitute Teacher for San Bernardino County - Flexible Schedules & Competitive Pay

Remote

Experienced School Year Instructional Coach for High-Dosage Tutoring Programs in Edgewater Park, NJ

Remote

Experienced School Year Tutor for K-8 Students in Math and Literacy - Mickleton, NJ

Remote

Experienced Secondary Social Studies Teacher for Kansas - Flexible Hybrid Remote Arrangement

Remote

USPS Office Helper

Remote

Scheduling Navigator (Temporary)

Remote

School Based Behavioral Health Advanced Practice Provider

Remote

**Experienced Sandwich Artist™ – Part Time Opportunity with a Leading Global Brand**

Remote

Sr Government Operations Analyst

Remote

Chemical Engineer/Environmental Engineer/Scientist - Entry Level - Permitting and Compliance Focus (Hybrid)

Remote

Remote Data Entry Clerk – Work From Home Position | No Experience Required | Flexible Scheduling & Competitive Pay

Remote

Microsoft Dynamics Developer - Remote

Remote

JAPANESE LINGUIST

Remote

CRM Specialist (Email & SMS)

Remote

**Experienced Customer Service Representative – Flexible Remote Work Opportunity with Arenaflex**

Remote
← Back