Pro- Member Care Representative

Position: Pro-Life Member Care Representative

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Remote Pro-Life Member Care Representative

Remote Pro-Life Member Care Representative
Fully Remote TX

Full-time

Description

This is a contingent opportunity, the anticipated start date has not been determined.

Who we Are

Mpathic is a consultative Contact Center and Sales Enablement partner that helps mission-driven organizations grow through meaningful, human-first conversations. We specialize in building, training, and deploying high-performing teams on behalf of our clients, acting as a seamless extension.

Why Mpathic?

• 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.

Mpathic is hiring Member Care Representatives working in a team environment to drive acquisition of new members for our customer, an emerging Catholic Values, Pro-Life, Health insurance Company.

Representatives navigate data in our customer’s CRM and execute inbound and outbound calls using our customer’s Contact Center platform.

Responsibilities

• 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

Schedule:

Monday-Friday Daytime Hours by CST & EST Time Zones.

Compensation: $20 to $23 per hour. After a one-month evaluation period, position will be eligible for higher pay. All Employees are eligible for discretionary performance bonuses.

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.
• 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 Office
  365 applications.
• Experience working with CRMs and Contact Center platforms preferred.
• Reliable non-Chromebook computer (Windows 11 or macOS 12+ or newer, produced within the last five years) and second monitor.
• 8 GB RAM minimum (16 GB preferred); SSD recommended
• High-speed internet (100 Mbps download, 20 Mbps upload, and 0% packet loss)
• Must clear all required background checks. Must be able to provide proof of eligibility to legally work in the United States.
• 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