Member Services Agent I

Vida
United States
RemoteCareer-pivot friendly

Who this role is best for

Strong fit for customer service professionals with healthcare experience who thrive in a remote-first, fast-paced environment and contribute to continuous improvement initiatives.

Best fit for

  • Candidates with healthcare call center experience and a passion for member engagement
    — “preferably within the healthcare industry”
  • Individuals who excel at building rapport and resolving complex issues through clear communication
    — “responding to member inquiries with professionalism, empathy and efficiency”
  • Professionals who are adaptable and can work on a seasonal basis with potential for extension
    — “This is a 3 month seasonal role with possible extensions based on business demand/performance.”

Things to consider

  • Remote work is mandatory, requiring strong Wi-Fi connectivity and self-discipline
    — “Strong Wi-Fi connectivity to function in a remote-first environment.”
  • The role requires meeting and exceeding KPIs, emphasizing performance metrics
    — “Consistently meet and exceed inbound and outbound Key Performance Indicators (KPIs)”

How to stand out

  • Highlight experience with CRM systems and outbound calling in your resume and interview responses
    — “Proficiency in using CRM and ticketing systems.”
  • Emphasize your ability to use motivational interviewing and active listening in member interactions
    — “Use Motivational interviewing and rapport building to explain the benefits of enrollment”
  • Showcase your track record of resolving member concerns and providing personalized solutions
    — “Proactively resolve member concerns by identifying solutions and escalating complex issues”
  • Demonstrate your commitment to documentation and compliance, especially with HIPAA standards
    — “ensuring member confidentiality at all times according to HIPAA regulations”
  • Mention your involvement in training or process improvement initiatives if applicable
    — “Support Member Services projects on an ad-hoc basis, including updating training”
Pace · Fast PacedCollaboration · MediumAutonomy · MediumDecision Impact · Individual

Derived from job-description analysis by Serendipath's career intelligence engine.

What success looks like

  • Handle member inquiries with professionalism, accuracy, and empathy
  • Conduct assessments, answer questions related to services, assist with program enrollment
  • Provide an exceptional customer experience by responding to member inquiries
  • Accurately document all member interactions and resolutions
  • Proactively resolve member concerns by identifying solutions
Typical background
2-3 years of experience in a customer service or call center role, preferably within the healthcare industry

Skills & requirements

Required

Outbound OutreachInbound Call HandlingAssessment And EnrollmentApp NavigationDocumentationProblem ResolutionCompliance With Healthcare StandardsTeam Collaboration

Preferred

2-3 Years Of Experience In A Customer Service Or Call Center Role, Preferably Within The Healthcare IndustryStrong Verbal And Written Communication SkillsExcellent Problem-solving And Active Listening AbilitiesProficiency In Using CRM And Ticketing SystemsAbility To Work Efficiently In A Fast-paced, Member-focused Environment

Stack & domain

Customer ServiceCall CenterHealthcareCRMTicketing SystemsProblem-solvingCommunicationTrainingPeer SessionsTeam MeetingsScripting ImprovementsQuality MonitoringEmpathyResponsivenessAccuracyService ExcellenceProfessionalismTeamworkContinuous Improvement

About the role

Original posting from Vida via Lever

We are seeking a dedicated and highly customer-focused Member Services Agent I to join our healthcare organization. This role is responsible for handling member inquiries with professionalism, accuracy and empathy to ensure a seamless and high-quality customer experience. The ideal candidate will have exceptional problem-solving skills, a passion for service excellence and a commitment to delivering personalized and effective solutions through clear communication and responsiveness.

Responsibilities::

  • Outbound outreach to members who may or may not have heard of Vida via our phone system. Use Motivational interviewing and rapport building to explain the benefits of enrollment into Vida’s program, which is free to the member.
  • Take in-bound calls from members to conduct assessments, answer questions related to services, assist with program enrollment based on interests and health goals and help members with app navigation, general inquiries or status updates related to prior phone or email interactions.
  • Provide an exceptional customer experience by responding to member inquiries with professionalism, empathy and efficiency, while proactively identifying opportunities to educate and promote Vida program offerings that best meet member needs.
  • Accurately document all member interactions and resolutions in the Member Services system, following established processes to maintain service integrity and transparency ensuring member confidentiality at all times according to HIPAA regulations.
  • Proactively resolve member concerns by identifying solutions and escalating complex issues to the appropriate departments while ensuring timely follow-up and resolution with the member.
  • Adhere to company protocols to ensure compliance with healthcare standards while prioritizing member satisfaction and quality service delivery, effectively addressing concerns and overcoming objections to provide clear, informed and reassuring solutions or program offerings.
  • Support Member Services projects on an ad-hoc basis, including updating training, leading peer sessions or team meetings, brainstorming scripting improvements and quality monitoring working collaboratively with team members to enhance service quality, streamline processes and contribute to a culture of continuous improvement.
  • Engage in ongoing training and professional development to sharpen service skills and stay informed on industry best practices.
  • Champion the organization’s commitment to excellence by creating a welcoming, solutions-driven and member-focused service environment, ensuring that every member receives accurate, reliable and high-quality support.
  • Consistently meet and exceed inbound and outbound Key Performance Indicators (KPIs) as well as other duties as assigned, demonstrating a commitment to responsiveness, accuracy and service excellence.

Qualifications::

  • High school diploma or equivalent required; Associate's or Bachelor's Degree preferred.
  • Minimum 2-3 years of experience in a customer service or call center role, preferably within the healthcare industry.
  • Strong verbal and written communication skills.
  • Excellent problem-solving and active listening abilities.
  • Proficiency in using CRM and ticketing systems.
  • Ability to work efficiently in a fast-paced, member-focused environment.
  • Strong Wi-Fi connectivity to function in a remote-first environment.

This a 3 month seasonal role with possible extensions based on business demand/performance.

Source: Vida careers (Lever)

Similar roles