Member Services Specialist

Job Summary

Serving as a frontline ambassador for the health plan, the full-time Member Services Specialist will deliver high-quality support to members, providers, and brokers, focusing on first-call resolution and navigating various healthcare offerings while working onsite in Irving, TX.

Key responsibilities

• Resolve inquiries related to Health Exchange, US Family Health Plan, and NCHD, while quoting basic eligibility and benefits
• Document call interactions accurately in the CRM, ensuring clarity and audit readiness
• Guide members through the CHRISTUS website and individual member portal, advocating for beneficiaries to resolve issues

Required qualifications

• High school diploma or equivalent is required
• Basic proficiency in Microsoft Office Suite (Word, Excel, Outlook)
• 0-2 years of customer service experience preferred, ideally in healthcare, insurance, or call center environments
• Ability to work remotely on scheduled work-from-home days with reliable internet access
• Willingness to participate in scheduled overtime during high-volume periods