Member Services Specialist

Job SummaryA top hospital system and healthcare provider on the West Coast is seeking a Service Center Representative to support the Medicare and Special Projects team. This is a detail‑heavy, fast‑paced role that requires strong critical thinking, attention to detail, computer proficiency, and the ability to make independent decisions.This position supports health plan enrollment through heavy data entry (approximately 80%) and outbound phone calls (approximately 20%).Key ResponsibilitiesThe Service Center Representative will support account maintenance, billing, reconciliation, reporting, and customer service related activities, including but not limited to:Perform high‑volume data entry to support health plan enrollment and member maintenanceMaintain and update member records, including enrollments, corrections, retroactive adjustments, and terminationsIdentify, research, and reconcile billing and payment discrepancies to ensure accurate eligibility, revenue, and membership recordsSupport eligibility inquiries and ensure billing accuracy and timely distributionInteract with purchaser benefit administrators to explain health plan policies and contractual provisionsResolve membership and billing‑related issues with internal teams, purchasers, and sales/service representativesAssist with sales process support and membership accounting issue resolutionResolve payment delinquencies and discrepanciesIdentify, code, batch, scan, and index documents into the imaging systemProvide general office support (mail handling, filing, document retrieval, supply ordering, and copier maintenance)Work with internal and external customers and vendors to resolve support service issuesTrack productivity and customer service quality metricsParticipate in team‑based projects and operational improvement initiativesAssist with training as requiredCoordinate and facilitate communication across departments and lines of businessParticipate in purchaser performance evaluations and target‑setting activitiesPerform additional duties as assignedOnsite / Remote DetailsThis role starts onsite for a minimum of 6 weeks of trainingAfter training, there is an opportunity to transition to fully remote work, pending ScheduleMonday–Friday, 8:00 AM – 5:00 PM PTBreaks includedNo time off permitted during the 6‑week training period or during holidaysMissing time during training or restricted periods may result in terminationImportant NotesThis is one of the top hospital systems and healthcare employers in the United States, offering strong resume‑building and transferable skillsNo flexibility on start date: 7/6/2026No time off is permitted during the first 90 days or during holidaysOvertime opportunities may be available once open enrollment beginsAnticipated contract end date is 12/31/2026, with possible extension or conversion (not guaranteed)