Member Services Processing Specialist

📋 Description

• Review and process member applications, certifications, transfers, appeals, and related service
• Review documentation for completeness, accuracy, eligibility, and compliance.
• Enter/update information in member services systems and ensure proper routing.
• Maintain case notes and supporting documentation for reviews and audits.
• Communicate with members, providers, and internal teams about requirements and status.
• Escalate complex cases to supervisor for guidance and resolution.

🎯 Requirements

• Education: High school diploma or equivalent.
• Experience: 1–3 years in processing, admin support, data entry, or related ops.
• Documentation skills: strong attention to detail and accuracy.
• Communication: strong written and verbal skills with stakeholders.
• Process discipline: follow procedures and maintain compliance.
• Problem-solving: good judgment for discrepancies and escalation needs.

🎁 Benefits

• Compensation: $19.55–$26.45 hourly, DOE/location/requirements.
• Remote flexibility: fully remote with flexible schedule.
• Health plans, retirement, PTO, parental leave, and insurance coverage.
• Professional development and internal career mobility.
• Technology exposure and ongoing learning opportunities.