Job Description A client of Insight Global is looking for Level 1 and Level 2 Member Service Representatives who will be responsible for the following:   Resolve incoming calls concerning members eligibility, benefits, provider information, monthly premium billing, medical claims billing, status and clinical and pharmacy need   Coordinate member plan needs from changing a Primary Care Provider to assisting with clinical or pharmacy related matters   Accurately document and direct appeals and grievances according to department protocols and procedures and may help with research and resolution   Research and validate claims and/or billing issues, and follows department procedure and policies to resolve these issues within set timelines Reviews and analyzes member claims for accuracy as well as educate members on how benefits are applied Compensation: $18.00/hr to $20.00/hr. Exact compensation may vary based on several factors, including skills, experience, and education. Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com .     To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements 2+ years of Call Center experience within a Healthcare OR Health Insurance environment   Must be comfortable going onsite 5 days a week, after 6 months there is potential for a hybrid role, but it will be based on performance (3 days onsite / 2 days remote)   Advanced knowledge and experience with healthcare terminology such as HMO, insurance information, benefits, provider information etc.   Data entry experience and intermediate computer skills Flexible schedule to occasionally pick up shifts within these time frames after 5-6 months M-F 7am 8pm, Sat Sun 8am 6pm after fully trained Experience validate claims and billing issues (Level 2) null We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion,sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to HR@insightglobal.com.