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Remote Member Service Representative Jobs (NOW HIRING)

PharmaCentra

Remote Member Services Representative

Join PharmaCentra as a remote Member Services Representative and become the trusted first point of ... Respond to member inquiries within service standards * Educate members on benefits, coverage ...

Hawkins Personnel Group

$14 - $18/hr

Pay $11.25 Monolingual, $11.75 bilingual Weekly Pay & Benefits Day Shift, Remote Member Service Representatives, Enrollment Reps, and Credentialing needed for customer inquiries regarding enrollment ...

Peak Health

Member Service Representative

Membership Services Representative This position will report to the Manager of Member and Provider Services, playing a unique and important role in our mission to change healthcare for the better.

New

Wellby Financial

Member Service Representative II

The Member Service Representative II will interact with members by addressing inquiries and ... Need to be able to work both onsite and remote based on business needs. * Bilingual preferred. For ...

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How much do remote member service representative jobs pay per hour?

As of Jun 24, 2026, the average hourly pay for remote member service representative in the United States is $15.91, according to ZipRecruiter salary data. Most workers in this role earn between $12.02 and $18.99 per hour, depending on experience, location, and employer.

What is a Remote Member Service Representative?

A Remote Member Service Representative is a customer support professional who assists members of an organization, such as a credit union, insurance company, or healthcare provider, from a remote location—usually from home. Their primary duties include answering member inquiries, resolving concerns, processing requests, and providing information about products or services via phone, email, or chat. This role requires strong communication skills, problem-solving abilities, and proficiency with digital tools to effectively serve members without in-person interaction.

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

AspectRemote Member Service RepresentativeRemote Customer Service Representative
CredentialsHigh school diploma or equivalent; some roles may require industry-specific certificationsHigh school diploma or equivalent; generally no specialized certifications needed
Work EnvironmentCall centers, financial institutions, healthcare organizationsRetail, tech companies, service providers
Industry UsageFinancial services, healthcare, insuranceRetail, tech, hospitality
Common Search/ComparisonYesYes

The Remote Member Service Representative typically works in financial or healthcare sectors, focusing on member or patient interactions, often requiring industry-specific knowledge. The Remote Customer Service Representative has a broader scope across various industries, handling general customer inquiries. While both roles involve remote communication and customer support, the Member Service role is more specialized in serving members or clients within specific industries.

How does a Remote Member Service Representative effectively collaborate with team members and supervisors while working from home?

Remote Member Service Representatives typically use a variety of digital communication tools, such as video calls, instant messaging, and collaborative platforms, to stay connected with their team and supervisors. Regular virtual meetings and check-ins help ensure that everyone is aligned on goals and any challenges can be addressed promptly. Additionally, clear documentation and timely updates are essential for smooth collaboration, as they help maintain transparency and accountability within the team. Most organizations also provide ongoing support and training to help remote representatives feel engaged and supported in their roles.

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

To thrive as a Remote Member Service Representative, you need strong customer service skills, attention to detail, and typically a high school diploma or equivalent. Familiarity with CRM software, call center systems, and secure communication platforms is often required. Outstanding verbal communication, active listening, and problem-solving abilities are crucial soft skills for success in this role. These skills ensure efficient issue resolution, member satisfaction, and effective service delivery in a remote environment.
More about Remote Member Service Representative jobs
What cities are hiring for Remote Member Service Representative jobs? Cities with the most Remote Member Service Representative job openings:
What are the most commonly searched types of Member Service Representative jobs? The most popular types of Member Service Representative jobs are:
What states have the most Remote Member Service Representative jobs? States with the most job openings for Remote Member Service Representative jobs include:
What job categories do people searching Remote Member Service Representative jobs look for? The top searched job categories for Remote Member Service Representative jobs are:
Remote Member Service Representative jobs near you
Infographic showing various Remote Member Service Representative job openings in the United States as of June 2026, with employment types broken down into 78% Full Time, 21% Part Time, and 1% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $33,096 per year, or $15.9 per hour.
Remote Member Services Representative

Remote Member Services Representative

PharmaCentra, LLC

Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 4 days ago

Job description

Join PharmaCentra as a remote Member Services Representative and become the trusted first point of contact for members seeking support with pharmacy benefits, coverage questions, and account assistance. In this fully remote role, you will deliver compassionate, accurate service in a fast-paced call center environment while helping members navigate important healthcare needs.
What You'll Do
  • Handle 40+ inbound calls daily with professionalism, empathy, and efficiency
  • Respond to member inquiries within service standards
  • Educate members on benefits, coverage, claims, and plan processes
  • Assist with prior authorizations, formulary exceptions, and appeals
  • Research and resolve issues using multiple systems in real time
  • Accurately document all interactions in CRM and internal systems
  • Escalate complex concerns while maintaining ownership of the member experience
  • Participate in training, coaching, team huddles, and performance improvement initiatives
  • Follow HIPAA/privacy standards, quality guidelines, and company procedures

What We're Looking For
  • Education: High School Diploma or equivalent.
  • Experience: 1+ year of customer service, member services, healthcare, or call center experience; Pharmacy benefits, managed care, claims, or healthcare experience preferred
  • Skills: Ability to manage high call volumes in a fast-paced environment. Strong communication, active listening, and customer service skills. Experience with claims processing and prior authorizations preferred. Detail-oriented with strong problem-solving skills and the ability to multitask across multiple systems.
  • Technical Skills: Proficiency in Microsoft Office (Excel, Word, PowerPoint, Outlook), CRM, or contact center platforms
  • Required Equipment: Windows 10/11 PC (Intel i5/AMD Ryzen 5+, 8 GB RAM, 256 GB SSD), webcam, noise-canceling headset (no Mac or Chromebooks)

Benefits
  • Competitive pay and growth opportunities.
  • Fully remote with flexible scheduling.
  • DailyPay for daily wage access.
  • Comprehensive benefits (medical, dental, vision, disability, life insurance), PTO, and paid holidays after 90 days.
  • 401(k) with company match after 1 year of service.

Work Schedule
  • Full-time, 40 hours/week
  • Training typically lasts two weeks, with sessions held Monday to Friday, 10 AM to 6 PM Eastern Time (ET). After training, you will be assigned a fixed schedule, which will remain consistent unless there are changes to business needs or personal requirements.
  • Employees work 8-hour shifts between 12 PM and 10 PM ET Monday through Friday, with a requirement to work one weekend day per week during the same hours.

Ready to Join Us? If you're detail-oriented and solution-driven with strong communication skills, we encourage you to apply now! Our 3-minute, mobile-friendly application process is quick and easy. We look forward to hearing from you!
**After applying, please complete the (1) Assessment and (2) Internet Speed Test to avoid processing delays. Candidates will be contacted using the email address and phone number provided.

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