Participant Services Representative
2 weeks ago
Member Services Representative
Starting Rate $17.25/hr
Location: San Antonio, TX (On-site as needed)
Hours: M-F 8:00AM - 4:30PM (Training), Shift between 7:00AM - 6:30PM with rotating Saturdays
Duration: 6+ months
- Extensive member contact via inbound/outbound calls to start and process prescription orders.
- Research and resolve issues related to customer inquiries using PeopleSafe and LINKS.
- Collaborate with internal teams and external customers, addressing concerns from Customer Care, Account Managers, and Quality Assurance.
- Verify and re-verify insurance coverage for patients and resolve payment issues.
- Post payments, complete mail-order prescription transactions, and follow standard procedures.
- Provide empathetic and professional customer service to patients, healthcare professionals, and insurance carriers.
- 1+ year in customer service or call center (handling 75+ calls/day preferred).
- Proficiency in Microsoft Outlook, Word, and Excel.
- Basic data entry and intermediate math skills with attention to detail.
- Knowledge of Medicare, Medicaid, insurance terminology, and third-party vendors is a plus.
- Ability to prioritize tasks in a fast-paced environment.
Education: High School Diploma or GED required.
Benefits (employee contribution):
- Health insurance
- Health savings account
- Dental insurance
- Vision insurance
- Flexible spending accounts
- Life insurance
- Retirement plan
All qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
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