Member Services Representative

Job Description

Job Description

Member Services Representative – Healthcare (Intermediate Level) Position Overview

We are seeking a dedicated and service-driven Member Services Representative to join a fast-paced healthcare support team. In this role, you will serve as the primary point of contact between members, providers, and health plans—ensuring a seamless and positive healthcare experience.

This position is ideal for individuals with a strong customer service background in healthcare who thrive in call center environments and enjoy problem-solving while making a meaningful impact on patient care.

Key Responsibilities

• Act as the main liaison between members, medical providers, and health plans
• Handle high-volume inbound and outbound calls in a call center environment
• Respond to member inquiries regarding claims, referrals, and eligibility
• Assist with insurance verification and coordination of healthcare services
• Review and maintain accurate medical records and documentation
• Provide guidance on healthcare processes and care management support
• Ensure compliance with healthcare regulations and internal policies
• Deliver exceptional customer service while resolving issues promptly

Required Qualifications

• Minimum 2 years of customer service experience, preferably in:
  • Healthcare plan
  • IPA (Independent Practice Association)
  • Medical group call center
• Strong knowledge of:
  • HMO structures
  • CMS (Centers for Medicare & Medicaid Services) guidelines
  • DMHC (Department of Managed Health Care) regulations
• Familiarity with medical coding and claims terminology

Core Skills

• Call center operations
• Customer service excellence
• Medical records management
• Patient care coordination
• Insurance verification

Additional Skills & Competencies

• Excellent written and verbal communication skills
• Professional and pleasant phone demeanor
• Strong attention to detail and problem-solving abilities
• Ability to multitask in a fast-paced environment
• Proficiency in Microsoft Office (Word, Excel, Outlook)

Compensation

• $23/hr

Job Type & Location

This is a Contract position based out of Northridge, CA.

Pay and Benefits

The pay range for this position is $23.00 - $23.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully onsite position in Northridge,CA.

Application Deadline

This position is anticipated to close on Jun 26, 2026.

About TEKsystems

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.