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Member Enrollment Representative information

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How much do member enrollment representative jobs pay per hour?

As of Jun 22, 2026, the average hourly pay for member enrollment representative in the United States is $22.59, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $25.72 per hour, depending on experience, location, and employer.

What is the difference between Member Enrollment Representative vs Customer Service Representative?

AspectMember Enrollment RepresentativeCustomer Service Representative
Required CredentialsHigh school diploma; some roles may prefer experience in insurance or healthcareHigh school diploma; customer service experience often preferred
Work EnvironmentHealthcare or insurance offices, call centersRetail, call centers, service desks
Employer & Industry UsageHealth insurance companies, healthcare providersVarious industries including retail, telecom, finance
Common Search & Comparison IntentUnderstanding enrollment processes, insurance benefitsHandling customer inquiries, issue resolution

While both roles involve interacting with customers, the Member Enrollment Representative primarily focuses on assisting members with enrollment, benefits, and insurance paperwork within healthcare or insurance settings. In contrast, Customer Service Representatives handle a broader range of customer inquiries across various industries. The roles share similar credentials but differ in industry focus and daily responsibilities.

What does a Member Enrollment Representative do?

A Member Enrollment Representative is responsible for assisting individuals with the process of enrolling in membership programs, typically for health plans, insurance, or other organizational memberships. They guide prospective members through application forms, eligibility requirements, and benefits information. These representatives also address questions, troubleshoot enrollment issues, and ensure accurate data entry. Their role is crucial for providing a positive first impression and ensuring smooth onboarding for new members.

What are some common challenges faced by Member Enrollment Representatives and how can they be addressed?

Member Enrollment Representatives often face challenges such as managing high call volumes during open enrollment periods, addressing complex eligibility questions, and ensuring all documentation is accurately completed. To overcome these, it's important to develop strong organizational and communication skills, stay up-to-date on plan details and regulatory changes, and utilize available technology for tracking and follow-up. Working closely with team members and supervisors can also help resolve unique cases efficiently, ensuring a smooth experience for new members.

What are the key skills and qualifications needed to thrive as a Member Enrollment Representative, and why are they important?

To thrive as a Member Enrollment Representative, you need strong customer service abilities, attention to detail, and a high school diploma or equivalent. Familiarity with enrollment platforms, CRM systems, and basic office software is typically required, and some positions may prefer knowledge of healthcare or insurance regulations. Outstanding communication, problem-solving skills, and patience help you build rapport with members and address their enrollment needs effectively. These skills and qualities are essential to ensure accurate enrollment, member satisfaction, and compliance with organizational and regulatory standards.
More about Member Enrollment Representative jobs
What job categories do people searching Member Enrollment Representative jobs look for? The top searched job categories for Member Enrollment Representative jobs are:
Member Enrollment Representative jobs near you
Infographic showing various Member Enrollment Representative job openings in the United States as of June 2026, with employment types broken down into 33% Full Time, and 67% Part Time. Highlights an 100% In-person job distribution, with an average salary of $46,986 per year, or $22.6 per hour.

Member Enrollment Representative

Mass General Brigham Health Plan

Somerville, MA • Remote

Other

Posted 3 days ago

Job description

Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are at the forefront of transformation with one of the world's leading integrated healthcare systems. Together, we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage.
Our work centers on creating an exceptional member experience - a commitment that starts with our employees. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a welcoming and supportive environment that embraces their unique and varied backgrounds, experiences, and skills.
We are pleased to offer competitive salaries and a benefits package with flexible work options, career growth opportunities, and much more.
Responsible for processing and managing member enrollments in QNXT, ensuring accuracy and adherence to regulatory requirements. Experience with QNXT and prior member enrollment operations within a health plan environment is highly preferred.
Essential Functions
-Process new member enrollments, ensuring all required documents are accurately completed and submitted.
-Accurately enter member enrollment data into the enrollment system or database.
-Maintain comprehensive and up-to-date records of all member enrollment activities and communications.
-Respond to member inquiries and concerns regarding the enrollment process, benefits, and coverage.
-Ensure compliance with all applicable regulations, policies, and procedures related to member enrollment.
-Collaborate with cross-functional teams, such as customer service, claims, and finance, to ensure a seamless member enrollment experience.
-Assist in training and mentoring new Member Enrollment Representatives, providing guidance on enrollment procedures and best practices.

Education

  • High School Diploma or Equivalent required and Associate's Degree Related Field of Study preferred


Experience

  • At least 1-2 years of experience in a customer service, administrative, or enrollment role required

  • At least 2-3 years of experience in member enrollment or a related administrative role in the health insurance industry highly preferred

  • QNXT experience highly preferred


Knowledge, Skills, and Abilities

  • Solid understanding of member enrollment processes, regulations, and compliance requirements.

  • Proficiency in data entry and knowledge of relevant computer applications and software.

  • Excellent attention to detail and accuracy in handling sensitive member information.

  • Strong organizational and time management skills to prioritize tasks and meet enrollment deadlines.

  • Exceptional customer service and communication skills, both written and verbal.

  • Ability to handle complex enrollment issues and resolve member inquiries effectively.

Working Conditions

  • This is a remote role that can be done from most US states.
  • This is a full-time role with a Monday through Friday, 8 AM to 4:30 PM ET

Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.

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