Born from technology. Leading with empathy.
Member Care Representative
Location
Texas
Posted
3 hours ago
Salary
$20 - $23 / hour
Seniority
Senior
Job Description
Member Care Representative
Mpathic
• Uphold and integrate the customer’s Catholic and Christian identity to foster the teachings of the Church in all aspects of job performance. • Strictly adhere to HIPAA guidelines, conducting rigorous identity verification before disclosing any protected health information. • Verify member eligibility and gather necessary information to assist with member inquiry. • Efficiently authenticate and respond to provider request regarding patient policy status, effective dates of coverage, benefits, claim status, and other inquiries. • Inform members and providers on services requiring prior authorization and track the status of pending requests. • Maintaining detailed, audit-ready logs of every call, chat, and email interaction, including clear notes on the specific resolution or next steps promised. • Assist with producer support by performing regular DOI portal audits and checking Sircon credentials to verify active licensing status. • Perform other duties as assigned.
Job Requirements
- Strong verbal and written communication skills.
- General understanding of health insurance terminology
- A habit of empathy, placing the needs of prospective members above other considerations.
- Knowledge of or experience with Individual Health insurance in the state of TX a plus.
- Working knowledge of Catholic Church teachings on the sanctity of life.
- Spanish Language Proficiency is preferred.
- Customer Service experience preferred, though not required.
- High School Diploma or equivalent required, college degree preferred.
- Strong interpersonal skills, ability to work on a close-knit team and autonomously.
- Professional, courteous, and generous work attitude with a desire and ability to learn.
- Ability to identify solutions based on established processes and procedures.
- Meticulous habits in logging sales interactions via established business processes and tools.
- Effectively drive and manage progress through sales development stages to secure increased membership for our customer.
- Experience working with Office365 applications.
- Experience working with CRMs and Contact Center platforms preferred.
- Reliable non-Chromebook computer (Windows 11 or macOS 12+)
- Second monitor is preferred.
- 8 GB RAM minimum (16 GB preferred); SSD recommended
- High-speed internet (25 Mbps download / 5 Mbps upload or better)
- Ability to support video conferencing (webcam, USB wired headset with mic)
- Comfortable installing required software, updates, and security tools (VPN, MFA, endpoint protection)
- Secure, private workspace suitable for professional calls during business hours.
- Must clear all required background checks.
- Must be able to provide proof of eligibility to legally work in the United States.
Benefits
- Structured training and real coaching - not “figure it out on your own”
- Clear path to advancement for high performers
- A team culture that values effort, integrity, and growth
- Meaningful work supporting organizations that impact real people.
- Discretionary performance bonuses
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