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Member Services Representative

A-Line Staffing Solutions

Akron, OH

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JOB DETAILS
SALARY
$18–$20 Per Hour
SKILLS
Administrative Skills, Billing, Call Centers, Communication Skills, Computer Skills, Computer Systems, Customer Experience, Customer Relations, Customer Service Systems, Customer Support/Service, Data Entry, Detail Oriented, HIPAA (Health Insurance Portability and Accountability Act), Health Insurance, Healthcare, Insurance, Lift/Move 20 Pounds, Maintain Compliance, Manual Dexterity, Medicare, Microsoft Windows Operating System, Office Equipment, Organizational Skills, Patient Confidentiality, Performance Metrics, Presentation/Verbal Skills, Problem Solving Skills, Quality Metrics, Regulations, Regulatory Requirements, Security Protocols, Service Delivery, Technical Support, Time Management, VPN (Virtual Private Network), Wi-Fi, Writing Skills
LOCATION
Akron, OH
POSTED
2 days ago
Job Description

Member Services Representative

Location: Akron, OH 44305
Pay Rate: $18.00 - $20.00 per hour
Schedule: Monday-Friday | 8:00 AM - 5:00 PM
Type: Full-Time

We are seekinga Member Services Representative to provide high-quality customer support for members in a healthcare environment. This role focuses on resolving inquiries related to benefits, eligibility, billing, claims, enrollment, and authorizations while ensuring a professional, empathetic, and compliant customer experience.

Role Overview

The Member Services Representative serves as the primary point of contact for members, delivering personalized support through phone, electronic communication, and occasionally in-person interactions. This role requires strong communication skills, attention to detail, and the ability to navigate healthcare and insurance-related systems while maintaining confidentiality and service quality standards.

Key Responsibilities

Member Support & Service
  • Provide personalized assistance to members regarding enrollment, benefits, eligibility, billing, claims, and authorization inquiries.
  • Respond to questions and resolve concerns in a timely, professional, and empathetic manner.
  • Deliver service via phone, email, and other electronic communication channels.
  • Ensure all interactions reflect a customer-first, respectful, and solution-oriented approach.
Documentation & Case Management
  • Accurately document all member inquiries, issues, and complaints in tracking systems.
  • Route cases appropriately for resolution and follow-up.
  • Maintain detailed and accurate records in accordance with company and regulatory requirements.
Systems & Technical Support
  • Utilize computer systems and platforms including Windows-based applications and internal healthcare systems (e.g., Amisys, Macess).
  • Operate standard office equipment including computer, headset, and communication tools.
  • Manage workflows using VPN, Wi-Fi, and secure system access protocols.
Compliance & Quality Standards
  • Maintain strict confidentiality of member health information and business data (HIPAA compliance).
  • Adhere to all regulatory, departmental, and organizational policies and procedures.
  • Meet or exceed performance metrics for quality, productivity, and service standards.
Problem Solving & Communication
  • Exercise independent judgment to resolve member issues and interpret procedures appropriately.
  • Communicate clearly and effectively both verbally and in writing.
  • Balance professionalism with empathy and a calm, customer-focused demeanor.
  • Collaborate with management and internal departments to resolve complex issues.
Required Qualifications
  • High School Diploma or GED required (college experience preferred)
  • Minimum 2+ years of customer service, call center, or administrative support experience
  • Experience in healthcare, Medicare, or health insurance strongly preferred
  • Strong verbal and written communication skills
  • Proficiency with computer systems, data entry, and standard office applications
  • Ability to maintain confidentiality and handle sensitive information
  • Strong organizational and time management skills in a fast-paced environment
Preferred Qualifications
  • Experience working with Medicare or health insurance systems
  • Familiarity with call center environments and performance metrics
  • Prior experience using healthcare platforms such as Amisys or Macess
  • Background in remote or hybrid customer service environments
Physical & Work Requirements
  • Ability to sit for extended periods of time
  • Ability to lift up to 20 pounds as needed
  • Occasional bending, stooping, and stretching
  • Manual dexterity for computer and phone use

Ideal Candidate

The ideal candidate is a professional, service-oriented individual who excels in high-volume customer support environments. This person demonstrates empathy, strong communication skills, attention to detail, and the ability to navigate healthcare systems while maintaining compliance and accuracy.

Why This Role

This position offers the opportunity to support members in a meaningful healthcare-focused environment while developing expertise in insurance operations, customer service, and healthcare systems. It is well suited for individuals seeking stable weekday hours and structured career growth in the healthcare services field.

Meet Your Recruiter

Lindsay Kopasz

About East Akron, OH

Ready to jumpstart your career in the vibrant area around East Akron, Ohio? With a rich history, stunning natural beauty at Cuyahoga Valley National Park, and an abundance of job opportunities, this region is a hidden gem for job seekers looking to thrive. Home to iconic landmarks like the Akron Art Museum and EJ Thomas Hall, and boasting a diverse culinary scene with local favorites like Swensons Drive-In, East Akron offers a unique blend of culture and charm. Join the thriving community of this region, catch a game featuring the Akron RubberDucks, and explore the numerous job opportunities waiting for you. Browse our listings and discover the possibilities that await in this dynamic area.

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About the Company

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A-Line Staffing Solutions

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

COMPANY SIZE
1,000 to 1,499 employees
INDUSTRY
Staffing/Employment Agencies
FOUNDED
2004
WEBSITE
http://www.alinestaffing.com/

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