High school diploma/GED required
1+ year customer service experience (call center preferred)
Strong typing/data entry, documentation accuracy, and multi-system navigation
Excellent communication, active listening, and conflict-resolution skills
Managed care experience is a plus
Bilingual proficiency may be a plus (role-dependent)
Answer high-volume inbound/outbound calls and support email/chat/fax/letter inquiries
Identify member needs quickly; clarify details and provide solutions or alternatives
De-escalate escalated member situations with patience and professionalism
Research complex issues across multiple databases; partner with internal departments for resolution
Document all contacts accurately in a CRM/electronic database and apply correct disposition coding
Educate members on plan benefits, managed care guidelines, and self-service tools/portals
Provide updates on pre-authorizations or pre-determination requests when applicable
Meet performance standards for call quality, first call resolution, efficiency, punctuality, and attendance
Member Services Representative (Health Plan Call Center)
Location: Alameda, CA 94502 (Onsite)
Schedule: Monday–Friday, 8:00 AM–5:00 PM
Pay: $28.61/hrr
Summary and Responsibilities
Join a member-focused call center team where service, accuracy, and follow-through matter. This Member Services Representative role supports health plan members with benefits navigation, eligibility questions, claims-related inquiries, authorizations status updates, and general plan support across phone, email, chat, and written communications. The right Member Services Representative brings strong customer service, clean documentation habits, and confidence researching issues across multiple systems
A-Line Staffing Solutions is a premier staffing company that supplies professionals to the Healthcare, Insurance, Pharmaceutical, and Information Technology industries.
Founded in 2004, A-Line Staffing Solutions has been a leader in matching talented individuals to the jobs that our clients NEED to fill. We are experts at offering creative staffing solutions to employers, and we are hiring every day.
A-Line Staffing can offer short-term, long-term and direct-hire opportunities to professionals across the United States. We hire only the most qualified and talented individuals in the country. Our recruiting, selection and stringent screening processes have strengthened our reputation for delivering quality customer service and unbeatable talent.
For our commissioned clients, A-Line Staffing closely follows the standards and practices established by The Joint Commission. For all of our clients and employees, our commitment to continual improvement combined with a strict code of ethics provides an atmosphere of respect and unparalleled professionalism.
To find out how A-Line Staffing Solutions can share our talent with you, please contact us today. We are eager to include you among our most valued and satisfied clients. If you are a professional and would like to learn more about open opportunities in your area, please contact us today. We are always searching for talented and enthusiastic professionals