Member Experience Representative - Onsite

Beacon Hill was founded to set a new standard in search, career placement and flexible staffing.

Beacon Hill's client is seeking service-driven professionals to join their team as Member Experience Representatives. This opportunity is perfect for individuals who enjoy helping others, resolving challenges, and delivering outstanding customer support in a healthcare-focused environment.

As a Member Experience Representative, you will be a trusted resource for individuals seeking assistance with healthcare coverage, claims, provider services, authorizations, and benefit-related questions. You will provide guidance, education, and support while helping members navigate complex situations and access the information they need to make confident healthcare decisions. This role is ideal for compassionate professionals who thrive in a customer-focused setting, enjoy problem-solving, and are committed to creating positive experiences for every member interaction.

After Training:
Monday-Friday 10:00 AM - 7:00 PM EST
Training Period: 7 weeks of paid onsite training Monday-Friday 9:00 AM - 6:00 PM EST

• Handle incoming and outgoing member communications related to healthcare benefits, eligibility, claims, provider networks, billing questions, and authorization requests.
• Explain healthcare plans, coverage details, and available services in a clear and easy-to-understand manner.
• Research member concerns, gather necessary information, and collaborate with providers, insurance partners, and internal teams to achieve resolutions.
• Assist members with understanding healthcare costs, coverage determinations, and benefit utilization.
• Support authorization and approval processes by providing updates and ensuring documentation requirements are met.
• Review and investigate claims inquiries while proactively following through on unresolved issues.
• Advocate for members by helping facilitate communication between healthcare providers and insurance organizations when challenges arise.
• Identify opportunities to improve the member journey through education, proactive outreach, and personalized assistance.
• Accurately document interactions and case activities while working across multiple software platforms.
• Provide professional and compassionate service during sensitive healthcare-related conversations.

• Strong customer service and communication skills.
• High School Diploma or GED required.
• Ability to demonstrate empathy and build rapport with customers.
• Effective problem-solving and critical-thinking abilities.
• Professional phone presence and excellent verbal communication skills.
• Reliable attendance and strong accountability.
• Proficiency with Microsoft Outlook, Word, Excel, PowerPoint, and Teams.

Beacon Hill offers eligible employees access to comprehensive benefits programs, including medical, dental, vision, and applicable federal and state leave benefits. Additional details regarding benefit offerings will be provided upon hire.

Beacon Hill is an equal opportunity employer and individuals with disabilities and/or protected veterans are encouraged to apply.

California residents:
Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

Founded by industry leaders to set a new standard in search, career placement and flexible staffing, we deliver coordinated staffing solutions with unparalleled service, a commitment to project completion and success and a passion for innovation, creativity and continuous improvement.

Our niche brands offer a complete suite of staffing services to emerging growth companies and the Fortune 500 across market sectors, career specialties/disciplines and industries. Over time, office locations, specialty practice areas and service offerings will be added to address ever changing constituent needs.

Learn more about Beacon Hill and our specialty divisions, Beacon Hill Associates, Beacon Hill Financial, Beacon Hill HR, Beacon Hill Legal, Beacon Hill Life Sciences and Beacon Hill Technologies by visiting

Beacon Hill offers a robust benefit package including, but not limited to, medical, dental, vision, and federal and state leave programs as required by applicable agency regulations to those that meet eligibility. Upon successfully being hired, details will be provided related to our benefit offerings.

We look forward to working with you.

Beacon Hill. Employing the Future (TM)