Remote Member Service Representative Jobs in Spokane, WA

Customer Service Representative - Member Services / Healthcare Call Center - Remote (Spokane Area or Renton Area)

We are seeking a candidate to join our team as a Customer Service Representative in Member Services. In this role, you will act as the primary point of contact for healthcare plan members, providing essential support regarding coverage, claims, and benefits. If you are an empathetic, dependable professional looking to grow your career within a top-tier healthcare system, we would love to connect with you!

• Member & Provider Inquiries: Answer high-volume inbound calls regarding insurance benefits, coverage details, claims status, and billing statements.

• Issue Resolution: Handle member complaints and work diligently to resolve complex concerns with high empathy and emotional intelligence.

• System & Website Support: Guide members through website navigation, online account troubleshooting, and locating in-network healthcare providers.

• Billing & Financial Support: Respond to inquiries concerning premium amounts, remittance, provider assistance units, and Medicare units.

• Multitasking: Navigate multiple internal computer systems and software tools simultaneously while assisting callers on live lines.

• Work Modality: 100% Remote. Candidates must be local to either Spokane, WA, or Renton, WA, for initial equipment pickup and in the event of tech/outage support.

• Class Start Date: September 14, 2026.

• Training Phase: 8:30 AM - 5:00 PM PST (Monday through Friday) for the first 3 weeks. Attendance is mandatory for all training sessions.

• Nesting Phase: 8:30 AM - 5:00 PM PST for 2 to 3 weeks following classroom training, working directly with hands-on mentors.

• Regular Schedule: After training and nesting, assigned shifts will fall within the operating window of 7:00 AM - 5:00 PM PST (8-hour daily shifts, 40 hours per week).

• Experience: Minimum of 1 year of high-volume call center experience.

• Education: High School Diploma or GED (verification required).

• Technical Setup: Dedicated, quiet, and private home workspace with high-speed internet.

• Skills: Strong customer service background, computer proficiency, active listening, and the ability to handle upset callers with patience and professionalism.

• Background or prior experience working in the healthcare/health insurance industry.

• Full employment history and education verification are required.

• Pre-employment background check (including Washington criminal search).

• Drug screen required (note: drug panel tests for marijuana).

For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.

Here at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine.

Our commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers! The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?