Job Details
Member Service Representatives - Work From Home
2026-01-30 UnifyCX all cities,AK
Description:
Your schedule will be 8 hours within this time frame discussed during the interview process.
Additional Benefits: UnifyCX offers a comprehensive benefits package that includes health, life, vision, and dental insurance, as well as a 4% max matching 401K, and other financial opportunity options.
What Will You Do?
As a Member Service Representative, you will be responsible for receiving, answering, and/or resolving calls. These phone calls are from insured customers and their dependents, providers and their staff, employer/group staff, and brokers. The Member Service Representative will use companies claims / eligibility database to inquire on the status of claims, ID cards, addresses, and other issues as queried by the caller. As a Member Service Representative, you are the primary source for issuing authorizations when eligible for services.
In this position, you will:
To be considered, candidates are expected to have the following:
Who We Are:
UnifyCX is a transformative AI platform that empowers and enables teams to deliver efficient, exceptional customer experiences. We engineer superhuman customer experiences through a powerful blend of strategy, omnichannel support, analytics, and AI-driven tools like GoTalent.AI, Voice of Customer, and automatic QA. Our outcome-based model prioritizes measurable results for more than 200 client programs serviced today. With a focus on automation, talent enablement, strategic partnerships, and strict data ethics, UnifyCX delivers scalable, personalized, and compliant solutions that create real business impact.
UnifyCX is a certified minority-owned business and an EOE employer who welcomes diversity.
UnifyCX is growing and we are are looking for experienced Member Service Representatives to join our motivated and ambitious Work From Home team!
Pay and Perks:
- Base Pay: $18.00 per hour
- Location: This position will be Work From Home; however, you must reside in the San Antonio, TX area to be considered
- Job Type: Full Time
Your schedule will be 8 hours within this time frame discussed during the interview process.
Additional Benefits: UnifyCX offers a comprehensive benefits package that includes health, life, vision, and dental insurance, as well as a 4% max matching 401K, and other financial opportunity options.
What Will You Do?
As a Member Service Representative, you will be responsible for receiving, answering, and/or resolving calls. These phone calls are from insured customers and their dependents, providers and their staff, employer/group staff, and brokers. The Member Service Representative will use companies claims / eligibility database to inquire on the status of claims, ID cards, addresses, and other issues as queried by the caller. As a Member Service Representative, you are the primary source for issuing authorizations when eligible for services.
In this position, you will:
- Provide timely and accurate information to basic incoming customer calls from members, providers, and other external and internal constituents including:
- Issuing authorizations.
- Handling claim inquiries from providers and members.
- Communicate the correct information regarding accessibility, claims status and other calls of a service nature.
- Providing benefits information.
- Process customer claims according to established department policies and procedures.
- Checking voicemail boxes and handling customer/provider requests for:
- I.D. cards.
- Authorizations.
- Customer Service questions and issues.
- Fulfill rapid call volume by handling the appropriate amount of incoming calls.
- Complete Provider Relations requests for service.
- Provide timely feedback to the company regarding customer service failures and/or customer/provider concerns.
- Partner with Sales and Provider Relations to meet and exceed customers' expectations.
- Provide excellent customer service and handle all customers in a professional and courteous manner.
- Other duties as assigned by management.
To be considered, candidates are expected to have the following:
- Two years customer service or call center experience.
- Two years of experience in the health care industry or insurance environment preferred.
- Strong computer and technical skills to support heavy key data entry.
- Excellent customer service skills (friendly, courteous and helpful).
- Excellent interpersonal verbal and written communication skills.
- The ability to diffuse volatile situations, share information, and educate callers regardless of customers level of understanding.
- Understanding of the health insurance or insurance industries.
- Strong execution and follow-up skills.
- Goal oriented with ability to meet production standards.
- Team orientation and ability to work effectively across functional areas of the company.
- Accurate and efficient data entry skills.
- Strong analytical skill and ability to demonstrate good judgment.
- Ability to coordinate multiple tasks and projects.
- Skilled in dealing with all customers in an efficient and effective manner.
- Bilingual English/Spanish (a plus but not required).
Who We Are:
UnifyCX is a transformative AI platform that empowers and enables teams to deliver efficient, exceptional customer experiences. We engineer superhuman customer experiences through a powerful blend of strategy, omnichannel support, analytics, and AI-driven tools like GoTalent.AI, Voice of Customer, and automatic QA. Our outcome-based model prioritizes measurable results for more than 200 client programs serviced today. With a focus on automation, talent enablement, strategic partnerships, and strict data ethics, UnifyCX delivers scalable, personalized, and compliant solutions that create real business impact.
UnifyCX is a certified minority-owned business and an EOE employer who welcomes diversity.