Apply on Employer Site

Hornet Staffing, Inc, a GEE Group company · 7 hours ago

Member Service Representative (Healthcare)

Irving, TX

Contract

Onsite

Entry Level

$19/hr - $20/hr

2+ years exp

Hornet Staffing, Inc, a GEE Group company, is seeking a Member Service Representative in the healthcare sector. This role serves as a frontline ambassador for the health plan, providing high-quality support to members, providers, and brokers while focusing on first-call resolution and technical skill-building.

ConsultingEmploymentHuman ResourcesRecruitingStaffing Agency

Hiring Manager

Shobha J

Responsibilities

The Member Services Specialist serves as a frontline ambassador for the health plan, delivering high-quality, resolution-focused support to members, providers, and brokers across multiple lines of business

As the initial point of contact, this role extends beyond basic call handling—Specialists are trained to navigate the foundational pillars of our healthcare offerings, including the Health Exchange, US Family Health Plan, and NCHD, with a strong emphasis on first-call resolution

Specialists develop working knowledge of benefit structures, assist callers with portal navigation and access, and begin interpreting claims activity to support both member and provider inquiries

This position blends customer service excellence with technical skill-building, offering exposure to internal systems, regulatory protocols, and cross-functional workflows

Specialists are expected to gain proficiency in core platforms used for eligibility verification, claims review, and member account management (e.g., HSP, HPS, HealthTrio)

All interactions must be documented with a clear and concise recap of the call's purpose

Qualification

Healthcare customer serviceClaims reviewEligibility verificationMember account managementCall handlingPortal navigationTechnical skill-building

Required

2 years of customer service experience in healthcare insurance or related in call center environment or high volume inbound call setting

Must pass National and Federal background check and Education verification - HS Diploma/GED minimum

Company

Hornet Staffing, Inc, a GEE Group company

Hornet’s delivery model is designed to support those clients utilizing an MSP or VMS.

Founded in 2016

Alpharetta, Georgia, USA

11-50 employees

https://www.hornetstaffing.com/

Funding

Current Stage

Early Stage

Total Funding

unknown

2025-01-03Acquired

Leadership Team

Laurel Lynn Bruce

Chief Financial Officer

Company data provided by crunchbase