Member Service Representative

Company: Elevait Solutions
Location: Fountain Valley
Posted on: January 5, 2026

Job Description:

Job Description At ElevaIT, we’re currently looking for a Member Services Representative for a 2 Months Contract with our direct client —and I think you might be a great fit! Job Title: Member Services Representative Location: Fountain Valley, CA 92708 (Hybrid) Duration: 2-3 Months Job Type: Contract Note : Top 3 Keywords: 1- Managed Healthcare/Health Plan Customer Service 2. Member Grievances & Appeals Processing 3. Specialty Coding Certification Top Required Skills Customer Service & Member Support Call Center/Transaction Processing Communication & Documentation Must-Have Skills: Minimum 2 years of experience in a transaction-based or call center environment Strong verbal and written communication skills Ability to build rapport and demonstrate empathy with members Basic computer skills (MS Word, Excel) Typing speed of 45 WPM Ability to multitask and meet productivity and quality standards Attention to detail and strong organizational skills Ability to maintain confidentiality (HIPAA compliance) Key Responsibilities and Duties: Serve as the primary point of contact for members via phone, email, internet, and written correspondence Document and track member, provider, and sponsor interactions accurately Educate members on benefits, policies, rights, and responsibilities Process member grievances, appeals, and service requests Support multiple service queues (Claims, Medical Management, Provider Services) Review member claims history to ensure accurate benefit tracking Requirements: High School Diploma or GED (required) 2 years of call center or transaction-based experience Typing speed of at least 45 words per minute Basic proficiency with Microsoft Word and Excel Specialty coding certification (required)

Keywords: Elevait Solutions, Poway , Member Service Representative, Customer Service & Call Center , Fountain Valley, California