Healthcare Call center Representative

Member Services Representative – Healthcare Call Center

Location: Houston, TX (Onsite)
Pay Rate: $19.69/hour
Start Date: August 18 , 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

Interview Process: Interviews will be conducted on June 2, June 3, and June 4 only

(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)