***MUST BE LOCAL TO SPOKANE, WA OR RENTON, WA FOR EQUIPMENT PICKUP***
Professional Summary
The Member Services Representative serves as a key point of contact for health plan members, providers, and external partners, delivering accurate information and resolving inquiries related to coverage, claims, eligibility, and healthcare services. This role operates in a high-volume call center environment and requires strong communication, critical thinking, and customer service skills to support a diverse population. The representative ensures timely and professional resolution of issues while maintaining compliance with healthcare regulations and organizational standards. Success in this role requires the ability to navigate complex systems, manage multiple priorities, and provide empathetic, solution-oriented support in a fast-paced, remote or hybrid environment.
Key Responsibilities

+ Respond to a high volume of inbound and outbound calls, addressing inquiries from member...