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Member Services Representative - Healthcare Benefits & Claims

$19.69 per hour

MMC Group LP

Job Description

Job Description

Location: Houston, TX 77081 (Onsite)
Pay Rate: $19.69/hour
Start Date: 9/15 , 2026
Assignment Length: 3-month contract (extension possible based on performance and business needs)
Schedule: Monday–Friday, full-time daytime hours
Work Environment: 100% Onsite
Employment Type: Contract / Full-Time

(Respond to this post ASAP to get your interview scheduled)

Position Overview

We are seeking a customer-focused and detail-oriented Member Services Representative to join a fast-paced healthcare support team in Houston. In this role, you will serve as the primary point of contact for members, providers, and partners, handling inbound inquiries related to benefits, eligibility, claims, and authorizations.

This is an excellent opportunity for candidates who thrive in high-volume call environments and are passionate about delivering exceptional service while maintaining accuracy and compliance.

Key Responsibilities

  • Handle inbound calls related to member benefits, eligibility, claims status, and authorizations
  • Research and resolve claims inquiries, identifying issues and next steps
  • Submit escalations and reconsideration requests as needed
  • Deliver first-call resolution whenever possible
  • Accurately document all interactions in CRM and case management systems
  • Route inquiries to appropriate departments while maintaining detailed records
  • Identify trends and communicate recurring issues to leadership
  • Ensure compliance with confidentiality and healthcare regulations
  • Collaborate with internal teams to resolve issues efficiently
  • Provide professional, courteous, and solution-focused service

Required Qualifications

  • High school diploma or GED required
  • Minimum 2 years of customer service or call center experience
  • At least 1 year of healthcare-related experience preferred (claims, benefits, eligibility, or authorizations)
  • Proficiency in Microsoft Office (Word, Excel, Outlook)
  • Strong data entry and computer skills
  • Excellent communication (verbal and written)
  • Ability to multitask and work independently in a fast-paced environment

Preferred Experience

  • Healthcare insurance, managed care, or provider support experience
  • Familiarity with claims processing and authorization workflows
  • Experience using CRM or healthcare service platforms
  • Understanding of confidentiality and compliance standards

Core Competencies

  • Customer service excellence
  • Attention to detail
  • Analytical thinking and problem-solving
  • Strong communication skills
  • Team collaboration
  • Accountability and reliability
  • Adaptability in fast-paced environments

Why Apply?

  • Gain experience in a high-demand healthcare call center environment
  • Opportunity for assignment extension or long-term placement
  • Work with a collaborative and mission-driven team

Benefits:

  • Dental insurance
  • Health insurance
  • Vision insurance

Application Question(s):

  • Do you have 2 years or more call center experience in the last 5 years? (Must be oon resume)
  • Do you have at least 1 year of healthcare related experience supporting benefits, claims eligibility, or authorizations? (Must be on resume)

Education:

  • High school or equivalent (Required)
Company Description

Throughout the past 30 years plus, MMC, one of the most trusted names in workforce management services, has successfully delivered strategic solutions to large and small businesses in numerous industries.

We have built our reputation on partnering with our clients and candidates to achieve the desired results. Our recruiting professionals have extensive experience matching the right candidate, to the right client, for the right position. We provide the best opportunities to the most talented candidates in a multitude of industries.

MMC is a privately owned business with corporate headquarters in Irving, Texas. With 2,000+ employees, working in 40+ states, MMC is able to support all United States locations, and some international locations.

We appreciate your interest in reviewing this particular position and we encourage you to visit our website where you can always search and apply for opportunities at

Benefits with MMC Group
MMC offers health insurance plans for our active candidates on assignment, including:

Medical, dental, and vision coverage
Life and disability insurance
Additional voluntary benefits

Join MMC and enjoy the support of a team that values your well-being, both on and off the job.

MMC strives to ensure all job posting confirm details of the position, the rate of pay, and acknowledge medical benefits are offered.

Get started on your career journey today! Apply to become a part of the MMC Team!

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.

Company Description

Throughout the past 30 years plus, MMC, one of the most trusted names in workforce management services, has successfully delivered strategic solutions to large and small businesses in numerous industries.\r\n\r\n We have built our reputation on partnering with our clients and candidates to achieve the desired results. Our recruiting professionals have extensive experience matching the right candidate, to the right client, for the right position. We provide the best opportunities to the most talented candidates in a multitude of industries.\r\n\r\n MMC is a privately owned business with corporate headquarters in Irving, Texas. With 2,000+ employees, working in 40+ states, MMC is able to support all United States locations, and some international locations.\r\n\r\n We appreciate your interest in reviewing this particular position and we encourage you to visit our website where you can always search and apply for opportunities at \r\n\r\n Benefits with MMC Group\r\n MMC offers health insurance plans for our active candidates on assignment, including:\r\n\r\nMedical, dental, and vision coverage\r\nLife and disability insurance\r\nAdditional voluntary benefits\r\n\r\n\r\n Join MMC and enjoy the support of a team that values your well-being, both on and off the job.\r\n\r\n MMC strives to ensure all job posting confirm details of the position, the rate of pay, and acknowledge medical benefits are offered.\r\n\r\n Get started on your career journey today! Apply to become a part of the MMC Team!\r\n\r\n We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.

Vacancy posted 13 days ago
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