Member Service Representative

Job Title: Member Service Representative Location: Remote in US Work Arrangement: Remote Employment Type: Contract Duration: 6 Months with the possibility of extension Pay Rate: $19.32/hr W2 Application Deadline: Last date for receipt of applications Oct 25, 2026 Job Description: We are seeking a Healthcare Customer Service Representative to support members with benefits eligibility, claims status, and other healthcare-related inquiries. This is a full-service call center role requiring strong communication, active listening, problem-solving, and follow-through to ensure member concerns are fully resolved. Note: Working hours would be in PST. Responsibilities: This is a full function call center role that goes above and beyond just answering incoming calls. The goal is to help achieve what the member’s needs, so they do not have to call back for the same question. This requires additional investigation during and after a call has ended and following through to ensure the members’ questions are being answered and completed correctly. Will require multi-tasking with multiple systems, databases and link resources. Incoming calls depend on business needs, no set amount as quality is the importance for this particular call center team Answer incoming healthcare contact center calls from members regarding benefits eligibility/claims status Gather and verify demographic information and document calls using standard computer software and systems Use tools and apply problem-solving skills to identify immediate caller needs, including potential crisis calls; elevate crisis calls according to standard operating procedures Use verbal and written communication strategies to effectively elicit information, gain confidence from caller and provide reassurance Answer inbound call and make outbound calls according to department policies and procedures Use active listening skills and interviewing techniques to accurately identify caller’s presenting concerns BENEFITS Medical Dental Vision 401(k) EEOC Compliance: We are an equal opportunity employer, and all qualified applicants will receive consideration for employment. DISCLAIMER AI Usage Policy: Pacer Group uses AI to assist in screening applications. Final hiring decisions are made by human recruiters based on qualifications and experience. #J-18808-Ljbffr