Customer Service Representative - Member Services Call Center

Customer Service Representative

This Customer Service Representative opportunity supports healthcare members and providers in a remote call center environment. Candidates should have strong call center or customer service experience and be able to commit to a strict attendance policy along with flexible evening and weekend availability. Candidates will report in person to Corona, CA on the first day for equipment pickup, followed by remote work.

Required Education: High School Diploma or equivalent

Required Qualifications / Skills / Experience:

• Minimum 2 years of recent customer service or call center experience
• Strong communication and documentation skills
• Comfortable handling high call volumes and member inquiries
• Ability to work weekends and late evening shifts, up to 9:30 PM PST, based on business need
• Reliable attendance and ability to follow strict schedule requirements
• Able to report to Corona, CA on the first day for equipment pickup
• Reliable hard-wired internet connection at home required for remote work (Wi-Fi is not accepted)
• A quiet, professional workspace for remote work

Preferred Qualifications / Skills / Experience:

• Healthcare, insurance, or member services background
• Experience handling inbound calls, complaints, billing, eligibility, and benefits
• Prior remote customer service experience
• Bilingual (Spanish) candidates encouraged to apply

Work Location: Remote after first-day equipment pickup in Corona, CA

Parking Information: To be confirmed with hiring team prior to start date

Schedule:

• Training: Monday through Friday, 8:00 AM to 4:30 PM (PST), remote after first-day equipment pickup
• Nesting: Remote, schedule to be determined based on business need
• Production: Candidates will be required to work nights and weekends based on business needs, with shifts running as late as 9:30 PM after training is completed

Interview Process: Second round interviews will be scheduled between October 5 and October 9. Candidates should confirm preferred day and time availability.

Dress Code: Business casual for the first-day equipment pickup

Overview: The Customer Service Representative will handle inbound calls from healthcare members and providers, addressing inquiries related to billing, eligibility, benefits, and general member services. This is a 6-month assignment with the possibility of conversion to a permanent role based on performance, though conversion is not guaranteed. The role is remote following the first-day equipment pickup in Corona, CA.

Job Responsibilities:

• Respond to inbound calls from members and providers regarding billing, eligibility, benefits, and general inquiries
• Provide accurate and timely information while maintaining strong documentation standards
• Meet performance expectations for call handling, attendance, and quality
• Complete all required training and nesting requirements remotely following the first-day equipment pickup
• Maintain a hard-wired internet connection and quiet workspace for remote work
• Adapt to scheduled shifts, including evenings and weekends, based on business needs

Industry: Healthcare / Insurance Call Center