Member Services Specialist Job at Robert Half (Rock Island)

Member Services Specialist

The Member Services Specialist serves as a frontline ambassador for the health p...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

High school diploma or equivalent is required
Basic proficiency in Microsoft Office Suite (Word, Excel, Outlook) and ability to learn proprietary systems quickly
0–2 years of customer service experience preferred, ideally in healthcare, insurance, or call center environments

Job Responsibility

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Begin mastery of four core systems (e.g., HSP, HPS, HealthTrio, and Zelis) to independently resolve inquiries and complete calls with accuracy and confidence
Resolve member, provider, or broker inquiries across Health Exchange, US Family Health Plan, and NCHD. Quote basic eligibility and benefits for Medicare Advantage inquiries, with emphasis on provider-facing interactions
Become a subject matter expert as you build foundational knowledge in core plan structures and internal workflows
Resolve routine inquiries during initial contact using standardized scripting, system navigation, and clear documentation
Provide customer service excellence through engagement, effective listening skills, patience, and desire to resolve the question/issue
Document call interactions in the CRM with clarity, accuracy, and resolution details that support audit readiness and downstream coordination
Explain core benefits and eligibility using handbook-aligned language
assist members in understanding coverage and accessing services
Guide members through navigation of the CHRISTUS website and their individual member portal

Fulltime

Member Services Specialist

As a Member Services Specialist, you’ll play a key role in helping members and o...

Location

United States , Birmingham

Salary:

16.06 - 24.03 USD / Hour

Daxko

Expiration Date

Until further notice

Requirements

Strong communication and interpersonal skills with a focus on active listening
A customer-first mindset with patience, empathy, and professionalism
Strong problem-solving and critical-thinking abilities
Comfort working with computers, multiple systems, and detailed data
Ability to manage time effectively and work independently
Attention to detail and commitment to accuracy
Ability to thrive in a fast-paced, high-volume call center environment
High school diploma or equivalent
At least 6 months of customer service or related experience
Proficiency using a PC

Job Responsibility

Serve as a trusted point of contact for members via email and inbound/outbound phone calls
Manage a high volume of member interactions while maintaining a calm, professional, and empathetic approach
Investigate and resolve billing and account-related questions, including fees, holds, freezes, and terminations
De-escalate challenging situations and provide thoughtful, solution-oriented support
Maintain accurate and up-to-date member financial records
Use Daxko software to process billing, reconcile accounts, and generate reports
Collaborate with teammates and internal partners to ensure a seamless member experience
Meet or exceed weekly, monthly, and quarterly performance goals
Participate in team trainings and contribute to ongoing process and service improvements
Follow established compliance policies and standard operating procedures

What we offer

Flexible paid time off
Affordable health, dental, and vision insurance options
Monthly fitness reimbursement
401(k) matching
New-Parent Paid Leave
Casual work environments
Remote work

Fulltime

Member Services Specialist - HP Member Services

The Member Services Specialist serves as a frontline ambassador for the health p...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

High school diploma or equivalent is required
Basic proficiency in Microsoft Office Suite (Word, Excel, Outlook) and ability to learn proprietary systems quickly
0–2 years of customer service experience preferred, ideally in healthcare, insurance, or call center environments

Job Responsibility

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Begin mastery of four core systems (e.g., HSP, HPS, HealthTrio, and Zelis) to independently resolve inquiries and complete calls with accuracy and confidence
Resolve member, provider, or broker inquiries across Health Exchange, US Family Health Plan, and NCHD
Quote basic eligibility and benefits for Medicare Advantage inquiries
Become a subject matter expert as you build foundational knowledge in core plan structures and internal workflows
Resolve routine inquiries during initial contact using standardized scripting, system navigation, and clear documentation
Provide customer service excellence through engagement, effective listening skills, patience, and desire to resolve the question/issue
Document call interactions in the CRM with clarity, accuracy, and resolution details that support audit readiness and downstream coordination
Explain core benefits and eligibility using handbook-aligned language
Assist members in understanding coverage and accessing services

Fulltime

Actuarial Member Services – Db Calculations Specialist

Location

United Kingdom , London/Reigate

Salary:

Not provided

The Emerald Group Ltd, Search and Selection

Expiration Date

Until further notice

Requirements

Part/newly/nearly qualified Actuary or not qualified/taking exams but has the required equivalent experience
Experience gained in within an actuarial team in a DB Pensions consultancy, Life insurer or equivalent
Experience in the bulk annuity market or within a pensions consultancy
Defined benefit experience is essential

Job Responsibility

Provide calculation support for standard and non-standard member option calculations which require actuarial referral
Test and sign off the onboarding of new schemes onto our automated member option tools
Act as an actuarial defined benefit subject matter expert to assist with queries from the wider Operations function and with new scheme triage
Development and refinement of features of our member option calculation tools

Fulltime

New

Admissions Services Specialist

Acadia Healthcare is seeking remote Admissions Services Specialists to support o...

Location

United States , Franklin

Salary:

Not provided

Acadia Healthcare

Expiration Date

Until further notice

Requirements

Bachelor's or Master's degree in Behavioral Science, Social Work, Sociology, Nursing, or a related field
in some states, RN, LVN/LPN
Knowledge of admission/referral processes, techniques, and tools
Familiarity with behavioral health issues and services
Solid understanding of financial principles and insurance reimbursement practices
Knowledge and proficiency with Salesforce.com (or other CRM application), Concur, and MS Office application
Licensure, as required for the area of clinical specialty, i.e., RN license, CAC or other clinical counseling or therapy license, as designated by the state in which the facility operates

Job Responsibility

Manage Referral Management Portals
Monitor all faxed referrals
Monitor all webforms and call center handoffs/rollover referrals
Utilize facility admissions/exclusionary criteria to process incoming types of referrals
Respond to inquiries about the facility within facility policy timeframes
Document calls inside of Salesforce and follow-up as needed
Complete Prior Authorization
Pre-Admit the patients in billing system
Coordinate with local admissions department regarding bed availability
Facilitate intake, admissions, and utilization review process for incoming patients

Fulltime

Member Specialist

Location

United States of America , Kenner

Salary:

17.00 - 25.00 USD / Hour

Walmart

Expiration Date

Until further notice

Requirements

Ensures area of responsibility is maintained in accordance with Company policies and procedures by properly handling returns zoning the area arranging and organizing merchandise and identifying shrink and damages
Provides member service by maintaining exit areas reviewing member receipts acknowledging the member and identifying member needs assisting members with purchasing decisions assisting members with locating merchandise
Provides member service by maintaining selfcheckout area resolving member issues and concerns promoting Sams Club products and services providing guidance and support to members regarding selfservice technology processing member purchases assisting with payments returns refunds and exchanges according to company policies and procedures for different membership and payment types assisting members with transactions utilizing selfcheckout area
Assists with securing and safeguarding Sams Club assets and property by observing and communicating potential criminal activity according to company policies and procedures maintaining paperwork logs and other required documentation executing emergency response procedures and ensuring compliance with company security and safety practices
Assists with the training of Member Frontline Service associates on company processes and procedures teaching new technology and tool functionality delivering new program rollout training and providing continuous learning and process improvement opportunities
Complies with company policies procedures and standards of ethics and integrity by implementing related action plans using the Open Door Policy: and applying these in executing business processes and practices
Completes work assignments and priorities by using policies data and resources collaborating with managers coworkers customers and other business partners identifying priorities deadlines and expectations carrying out tasks communicating progress and information determining and recommending ways to address improvement opportunities and adapting to and learning from change difficulties and feedback

Job Responsibility

Ensures area of responsibility is maintained in accordance with Company policies and procedures by properly handling returns zoning the area arranging and organizing merchandise and identifying shrink and damages
Provides member service by maintaining exit areas reviewing member receipts acknowledging the member and identifying member needs assisting members with purchasing decisions assisting members with locating merchandise
Provides member service by maintaining selfcheckout area resolving member issues and concerns promoting Sams Club products and services providing guidance and support to members regarding selfservice technology processing member purchases assisting with payments returns refunds and exchanges according to company policies and procedures for different membership and payment types assisting members with transactions utilizing selfcheckout area
Assists with securing and safeguarding Sams Club assets and property by observing and communicating potential criminal activity according to company policies and procedures maintaining paperwork logs and other required documentation executing emergency response procedures and ensuring compliance with company security and safety practices
Assists with the training of Member Frontline Service associates on company processes and procedures teaching new technology and tool functionality delivering new program rollout training and providing continuous learning and process improvement opportunities
Complies with company policies procedures and standards of ethics and integrity by implementing related action plans using the Open Door Policy: and applying these in executing business processes and practices
Completes work assignments and priorities by using policies data and resources collaborating with managers coworkers customers and other business partners identifying priorities deadlines and expectations carrying out tasks communicating progress and information determining and recommending ways to address improvement opportunities and adapting to and learning from change difficulties and feedback
Respect the Individual
Act with Integrity
Serve our Customers and Members

What we offer

Health benefits include medical, vision and dental coverage
Financial benefits include 401(k), stock purchase and company-paid life insurance
Paid time off benefits include PTO, parental leave, family care leave, bereavement, jury duty, and voting
Other benefits include short-term and long-term disability, company discounts, Military Leave Pay, adoption and surrogacy expense reimbursement, and more
Live Better U education benefit program

Fulltime

Member Specialist

Provides member service. Maintains the checkout area. Resolves member issues and...

Location

United States , Aurora

Salary:

21.00 - 29.00 USD / Hour

Walmart

Expiration Date

Until further notice

Requirements

Retail experience including operating front end equipment (for example, cash register)
Working with mobile retail applications

Job Responsibility

Provides member service
Maintains the checkout area
Resolves member issues and concerns
Promotes Sam's Club products and services
Provides guidance and support to members regarding self-service technology
Processes member purchases
Assists with payments, returns, refunds, and exchanges according to company policies and procedures for different membership and payment types
Follows company safety standards, procedures, and guidelines, including conducting safety sweeps
Follows proper procedures for handling merchandise
Corrects and reports unsafe situations to facility management

What we offer

Health benefits include medical, vision and dental coverage
Financial benefits include 401(k), stock purchase and company-paid life insurance
Paid time off benefits include PTO, parental leave, family care leave, bereavement, jury duty, and voting
PTO and/or PPTO that can be used for vacation, sick leave, holidays, or other purposes
short-term and long-term disability
company discounts
Military Leave Pay
adoption and surrogacy expense reimbursement
Education benefit program (Live Better U) for full-time and part-time associates
Additional compensation premiums ranging from $0.35 per hour to $3.00 per hour may be paid based on schedule, facility, season, or specific work performed

Parttime

Member Specialist

Ensures area of responsibility is maintained in accordance with Company policies...

Location

United States , Houston

Salary:

17.00 - 25.00 USD / Hour

Walmart

Expiration Date

Until further notice

Requirements

No minimum qualifications listed in the text

Job Responsibility

Ensures area of responsibility is maintained in accordance with Company policies and procedures by properly handling returns
zoning the area
arranging and organizing merchandise
and identifying shrink and damages
Provides member service by maintaining exit areas
reviewing member receipts
acknowledging the member and identifying member needs
assisting members with purchasing decisions
assisting members with locating merchandise
Provides member service by maintaining self-checkout area

What we offer

Medical, vision, and dental coverage
401(k)
stock purchase
company-paid life insurance
PTO
parental leave
family care leave
bereavement
jury duty
voting

Parttime

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Member Services Specialist

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