Member Experience Representative (Remote – Wisconsin)

About the Role
We are seeking a detail-oriented and customer-focused Member Experience Representative to join our team. In this role, you will serve as the primary point of contact for members, providers, and brokers—handling inquiries related to benefits, claims, billing, and authorizations.
This is an excellent opportunity for someone with healthcare call center experience who thrives in a fast-paced environment and is passionate about delivering exceptional customer service.
Key Responsibilities

+ Answer inbound calls and respond to email inquiries regarding:

+ Coverage and benefits

+ Claims status and billing questions

+ Prior authorizations and insurance verification


+ Translate complex healthcare and insurance terminology into clear, easy-to-understand information

+ Document detailed interactions and follow-up steps in internal systems

+ Perform insurance verification and review EOBs (Explanation of Ben...