Because health is personal
Member Services Representative
Location
United States
Posted
10 days ago
Salary
$18 - $21 / hour
No structured requirement data.
Job Description
Overview
Who We Are
Because health is personal. That's why Personify Health created the first and only personalized health platform—bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together in one place. We serve employers, health plans, and health systems with data-driven solutions that reduce costs while actually improving health outcomes. Together, our team is on a mission to empower people to lead healthier lives.
Learn even more about the work that drives us at personifyhealth.com.
Responsibilities
Ready to Be the Voice That Connects Members to Better Health?
We're seeking a customer service professional who can provide attentive service that truly makes a difference in members' healthcare experiences. As our Member Services Representative, you'll handle diverse inquiries while demonstrating our commitment to member satisfaction and wellbeing.
What makes this role different
✓ Healthcare impact: Your assistance directly affects members' access to health and wellness resources
✓ Technical expertise: Navigate multiple databases and systems to provide comprehensive member support
✓ Professional development: Learn comprehensive product knowledge while building expertise in health and wellness navigation
✓ Flexible environment: Work from home capability with scheduling flexibility to meet business needs
What You'll Actually Do
Provide exceptional service: Use outstanding interpersonal skills to understand customer inquiries and effectively assist members who may be frustrated or concerned.
Handle diverse inquiries: Manage incoming calls regarding variety of requests while demonstrating professional oral and written communication with all stakeholders.
Navigate complex systems: Research member information across multiple databases simultaneously to provide accurate resolution and comprehensive support.
Share expertise: Answer questions about client and product design as well as Personify Health's involvement with members' overall wellbeing journey.
Resolve technical issues: Assist members with website or product technical issues, escalating appropriately while maintaining focus on member satisfaction.
Maintain excellence: Meet established performance and quality standards while retaining thorough working knowledge of all existing and new products and services.
Qualifications
What You Bring to Our Mission
The service foundation:
- High school diploma or equivalent required
- Some University or Post-secondary Education preferred
- At least one year customer service experience in call center environment
- Excellent written and verbal communication skills
The technical competencies:
- Strong personal computer usage and Internet proficiency skills
- Ability to type 30 wpm minimum with accuracy
- Familiarity with cloud-based contact center software desirable
- Ability to learn and navigate new software quickly
The professional qualities:
- Flexible with scheduling as business needs dictate
- Strong work ethic and self-starter abilities with effective priority management
- Strong customer service, analytical, and decision-making skills
- Ability to organize and follow up on multiple tasks with accuracy and timeliness
Benefits
The Highlights:
- Competitive base salary and benefits effective day one
- Comprehensive medical and dental through our own health solutions (yes, we use what we build)
- Paid Time Off—rest and recharge time is non-negotiable
- Mental health support, retirement planning, and financial protection
- Professional development with clear career progression and learning budgets
- Mission-driven culture where diverse perspectives drive real impact on people's health
Want the full picture? Visit personifyhealthbenefits.com to explore our complete benefits package, wellness programs, and other employee perks.
Compensation: This position offers a base salary range of $18.00-$21.00 per hour, depending on location, skills, and experience. You're eligible for our full benefits package starting day one.
Our Commitment: Personify Health is an equal opportunity employer committed to diversity, equity, inclusion, and belonging. We cultivate a work environment where differences are celebrated, and employees of all backgrounds are empowered to thrive—because diversity is core to who we are and critical to our work in health and wellbeing.
Stay Safe: Personify Health will never ask for payment or sensitive personal information like social security numbers during hiring. All official communication comes from verified company email addresses and or our secure applicant tracking system. Suspicious requests? Report them to talent@personifyhealth.com. View all legitimate openings at personifyhealth.com/careers.
Related Guides
Related Categories
Related Job Pages
More Client Services Representative Jobs
Insurance Clearance Representative Senior Remote
American Addiction CentersAdvocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina. Services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies. Wake Forest University School of Medicine serves as the academic core of the enterprise. Nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Employs 155,000 teammates across 69 hospitals and over 1,000 care locations. Offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
The representative is responsible for acquiring and maintaining knowledge of payor requirements to perform insurance authorization for inpatient and outpatient services by analyzing clinical data and submitting requests according to payor guidelines. Key duties also involve pre-registering and registering patients, ensuring accurate entry of demographic and insurance information, and communicating potential financial responsibility to patients when authorization is not obtained.
The role involves setting up and validating new projects across multiple systems, ensuring data accuracy, and managing ongoing project maintenance, including updating details and tracking statuses. Responsibilities also include managing access, handling communication queues, and supporting ad hoc strategic initiatives.
The engineer will design, implement, test, and maintain core client features in Go, focusing on connection orchestration, NAT traversal, and encrypted transport lifecycle. Key tasks include shipping end-to-end client work, diagnosing performance issues, and championing engineering excellence through code quality and documentation.
The analyst will be responsible for setting up and validating new projects across multiple systems, ensuring data accuracy, and managing ongoing project maintenance, including updating details and tracking statuses. This role also involves managing access, handling communication support via queues, and assisting with special ad hoc strategic initiatives.