Member Service Representative jobs in United States
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CHRISTUS Health · 1 day ago

Member Service Representative

CHRISTUS Health is seeking a Member Service Specialist to deliver high-quality support to members, providers, and brokers. This role focuses on providing resolution-focused assistance while navigating healthcare offerings and ensuring excellent customer service.

Hospital & Health Care
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H1B Sponsor Likelynote
Hiring Manager
Shobha J
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Responsibilities

The Member Services Specialist serves as a frontline ambassador for the health plan, delivering high-quality, resolution-focused support to members, providers, and brokers across multiple lines of business
As the initial point of contact, this role extends beyond basic call handling—Specialists are trained to navigate the foundational pillars of our healthcare offerings, including the Health Exchange, US Family Health Plan, and NCHD, with a strong emphasis on first-call resolution
Specialists develop working knowledge of benefit structures, assist callers with portal navigation and access, and begin interpreting claims activity to support both member and provider inquiries
This position blends customer service excellence with technical skill-building, offering exposure to internal systems, regulatory protocols, and cross-functional workflows
Specialists are expected to gain proficiency in core platforms used for eligibility verification, claims review, and member account management (e.g., HSP, HPS, HealthTrio)
All interactions must be documented with a clear and concise recap of the call's purpose

Qualification

Customer service experienceHealthcare insurance knowledgeTechnical skill-buildingEligibility verificationCall handlingDocumentation skills

Required

2 years of customer service experience in healthcare insurance or related in call center environment or high volume inbound call setting
Must pass National and Federal background check and Education verification - HS Diploma/GED minimum

Company

CHRISTUS Health

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CHRISTUS Health is a Catholic not-for-profit health care system comprising more than 600 centers, including long-term care facilities, community hospitals, walk-in clinics and health ministries.

H1B Sponsorship

CHRISTUS Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (43)
2024 (35)
2023 (54)
2022 (46)
2021 (22)
2020 (26)

Funding

Current Stage
Late Stage

Leadership Team

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Terry Kyle
CEO and CDO The Children's Hospital of San Antonio Foundation & Friends of CHRISTUS Santa Rosa Fnd
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Thomas Royer, MD
CEO Emeritus
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Company data provided by crunchbase