Medix™

Compensation

Full Description

Member Services Representative Location: Manhattan, Hybrid (Mon & Fri Remote; Tues–Thurs Onsite) Schedule: Monday–Friday, 9 AM–5 PM | 35-hour work week Overview We are seeking a professional, energetic, and tech-savvy Member Services Representative to support our health plan members with outstanding customer service. This role requires handling 50–60 inbound calls daily, providing accurate information about benefits and claims, documenting all interactions, and resolving member issues in a timely and compliant manner. You will be a key part of helping members navigate their healthcare resources while meeting performance and quality standards. Responsibilities • Answer high-volume inbound member calls in a courteous and timely manner • Provide accurate information regarding benefits, coverage, eligibility, and claims status • Document all member interactions clearly and accurately • Resolve member concerns or escalate when appropriate • Assist members with tools, resources, and plan navigation • Adhere to HIPAA and all compliance requirements • Meet or exceed call quality, response time, and member satisfaction metrics What We Offer • Supportive team environment with events and holiday gatherings • Contract-to-hire opportunity based on attendance and performance • Clear growth opportunities within the organization Must-Have Qualifications • Official high school diploma (no copies or transcripts) • Experience in a high-volume inbound call center • Professional, attentive customer service skills Nice-to-Have • Experience or knowledge of TRICARE programs Ideal Candidate Attributes • Strong team player • Tech-savvy and adaptable • Positive, friendly, high-energy demeanor