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Member Enrollment Representative Jobs (NOW HIRING)

... member enrollment systems in a timely manner, and according to the account contract or service ... The requirements listed below are representative of the knowledge, skill, and/or ability required.

... member enrollment systems in a timely manner, and according to the account contract or service ... The requirements listed below are representative of the knowledge, skill, and/or ability required.

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Member Enrollment Representative information

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How much do member enrollment representative jobs pay per hour?

As of May 30, 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 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.

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 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 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.

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:
Infographic showing various Member Enrollment Representative job openings in the United States as of May 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.
New Member Enrollment Specialist

New Member Enrollment Specialist

AbsoluteCARE

Philadelphia, PA

Full-time

Posted 19 days ago


Job description

Description:

AbsoluteCare offers concierge health services using a risk-bearing, PCP-driven care model. We treat the most clinically complex and vulnerable members of the communities we serve, many of whom suffer from behavioral health, substance use, and SDoH challenges. We use population health management tools to employ a holistic approach to caring for the highest utilizers of healthcare services in our comprehensive care centers and in the community. AbsoluteCare tends exclusively to the needs of the top four to six percent of the population who persistently represent a disproportionate amount of unnecessary utilization and cost, regardless of whether they are engaged with other PCPs. In our more than 20 years of service, AbsoluteCare has focused on fulfilling the needs of this population. And we have consistently achieved unprecedented outcomes by addressing medical and psychosocial issues, in addition to the hardships of life that can exacerbate chronic health conditions and complicate access to care.

Our Values:

  • Accountability - We have the integrity to do what we say we will do
  • Caring - The needs of our team and members matter
  • Trust - Our members can rely on us
  • Teamwork - We act together as one inclusive group

TheNew Member Enrollment Specialist will be responsible for outreaching to potential new members referred by health plans, educating them on AbsoluteCare, enrolling them as a new member, and transporting members to the AbsoluteCare office.

Dutiesand Responsibilities:

Collaborate with the Team Lead to execute creative outreach strategies that will:

    • Be in the community as the "feet on the street" to locate and engage potential new members from a targeted list, who might be hard to reach or locate
    • Attract potential members to enroll at AbsoluteCare as their PCP
    • Effectively explain the benefits of enrolling at AbsoluteCare
  • Outreach to families and/or caregivers
  • Schedule potential members for a tour of the center
  • Transport members to the center in your personal vehicle who:
    • Are scheduled for a tour (possibly the same day they are located)
    • Are scheduled for their New Member Appointment (scheduled from the tour)
  • Report and enter daily outreach activities into CRM and update member's /potential member's addresses and phone numbers as needed.
  • Successfully locate hard to find members utilizing creative strategies
  • Enroll new members who choose AbsoluteCare as their new PCP
  • Establish trust and build meaningful relationships with members/potential members
  • Promote AbsoluteCare medical center as the "Go-To" resource for our members instead of using the emergency room or other fragmented higher cost medical resources
  • Instill and promote AbsoluteCare's 5-star customer service philosophy in the medical center and in the community by promoting the AbsoluteCaree Way

Qualifications:

  • High School Diploma or equivalent required
  • Extensive knowledge of Philadelphia (zip codes, neighborhoods, homeless shelters, etc.)
  • 2 years of outreach experience, specifically working in community, health, or social services.
  • Must have a reliablepersonal vehicle and be willing to use for transport(Only candidates that meet this requirement should apply)
  • Must have a valid driver's license and insurance
  • Ability to creatively locate members
  • Personal and professional passion to help improve healthcare delivery
  • Demonstrated respect for and experience with culturally diverse communities
  • Ability to build and maintain relationships with a diverse population
  • Strategic thinker: ability to analyze, develop and implement non-traditional solutions with results, understanding patient population and financial constraints
  • Ability to multi-task, highly organized, and great communication skills
  • Excels in developing real-world solutions and is quick to resolve and overcome obstacles
  • Creative and enthusiastic
  • Computer proficient in Microsoft Office, using emails, entering documentation into CRM, with the ability to learn new computer software
  • Team and customer service oriented
  • Previous Sales Experience Highly Preferred

PHYSICAL DEMANDS

  • Daily travel to local regions, using personal vehicle to transport members and search for members
  • Frequent walking required

AbsoluteCare, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, age, disability, genetics, protected Veteran status, or any other characteristic protected by law or policy.