Call Center Representative (Member Services) - USFHP

Be the voice our heroes trust when they need help. At PacMed’s US Family Health Plan (USFHP), every interaction matters. As a Member Services Representative, you will serve as a trusted resource for uniformed service members, retirees, and their families, helping them understand their benefits, navigate the healthcare system, and resolve concerns with professionalism, empathy, and accuracy.

About the role

In this frontline role, you will assist members and providers with questions about benefits, eligibility, referrals, claims, billing, appointment access, and coverage options. Using an automated call distribution (ACD) system, you will manage a high volume of inbound inquiries while delivering timely, accurate service through phone, written, and electronic communication channels. You will also process correspondence, respond to written inquiries, and document interactions to ensure effective tracking and follow-up.

Success in this position requires strong customer service skills, critical thinking, and the ability to prioritize tasks while working independently. You will guide members through complaint, grievance, and appeals processes, help new enrollees understand their coverage, and collaborate with providers, clinics, and internal teams to support positive outcomes. Strong communication skills, attention to detail, and a calm, solution-focused approach are essential. Experience with health insurance, managed care, medical terminology, or TRICARE benefits is helpful, but equally important is a commitment to delivering exceptional service with compassion and respect.

Requirements

• 2 years of experience in a healthcare field customer service position

Preferred Qualifications

• Post-secondary education
• 2 years of experience in a healthcare field customer service position in an HMO setting
• Call Center Experience

Benefits

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our mission to advocate, educate, and provide extraordinary care.

• Retirement 401(k) Savings Plan with employer matching
• Health care benefits (medical, dental, vision)
• Life insurance
• Disability insurance
• Time off benefits (paid parental leave, vacations, holidays, health issues)
• Voluntary benefits
• Well-being resources

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and foster an inclusive workplace where diversity is valued, and everyone is essential, heard, and respected.

Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics, and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas, and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices, and continuing our more than 100-year tradition of serving the poor and vulnerable.

About The Team

Pacific Medical Centers (PacMed) is a private, not-for-profit, primary and integrated multi-specialty health care network with outpatient clinics and primary and specialty care providers in King, Snohomish, and Pierce counties. We combine decades of patient-centered care with cutting-edge technology, first-class facilities, and board-certified providers. Our strong team environment and respect for our people—at all levels and from all backgrounds—allow us to provide authentic care that achieves the highest-quality patient outcomes, backed by the strong network of resources and support through our affiliation with the Providence family, including local partners like Swedish Health Services.

Pay

The posted wage range for this position is $22.62 - $35.22 per hour. The successful candidate's placement on the wage range will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Schedule

• Full time
• Multiple shifts available

Work Location: Blackriver Corporate Park-Renton

Workplace Type: On-site