Customer Service Advocate - Call Center

• Location: Houston, TX  
• Pay Rate: $19.69/hour 
• Start Date: 07/07/2026 
• Assignment Length: 3-month assignment with potential for extension based on business needs and performance 
• Interview Dates: Interviews will be conducted on June 2, June 3, and June 4 only 
• Schedule: Monday through Friday, full-time daytime hours 
• Work Environment: Fully Onsite 
• Employment Type: Full-Time, Contract Assignment 
• Industry: Healthcare Services / Member Support / Contact Center Operations

Position Overview

We are seeking a dedicated and service-driven Member Services Representative to join a fast-paced healthcare support team in Houston. This role serves as the primary point of contact for members, providers, and partners by handling inbound inquiries related to healthcare benefits, eligibility verification, claims status, authorization updates, and general account support.

The ideal candidate is detail-oriented, thrives in a high-volume call environment, and can confidently resolve complex issues while delivering exceptional customer service while maintaining strict confidentiality and compliance standards.

Key Responsibilities

• Manage incoming calls related to member benefits, eligibility verification, claim status updates, prior authorizations, and service concerns
• Research and resolve claims-related inquiries by identifying issues, reviewing claim details, and determining appropriate next steps
• Submit reconsideration requests and escalation documentation when necessary
• Provide first-call resolution whenever possible to ensure a positive customer experience
• Accurately document all interactions, updates, and follow-up actions within internal CRM and case management systems
• Route inquiries electronically to the appropriate departments while maintaining complete and accurate records
• Track recurring issues and communicate trends to leadership for operational improvements
• Maintain compliance with privacy standards, confidentiality requirements, and internal service protocols
• Collaborate with internal teams including claims, eligibility, authorizations, and operations support to ensure timely issue resolution
• Deliver professional, courteous, and solution-focused service in every interaction

Required Qualifications

• High school diploma or GED required
• Minimum of 2 years of customer service or call center / contact center experience
• At least 1 year of healthcare-related experience supporting benefits, claims, eligibility, or authorizations preferred
• Strong working knowledge of Microsoft Office including Word, Excel, and Outlook
• Ability to work independently with minimal supervision
• Strong data entry accuracy and moderate to advanced computer proficiency
• Excellent written and verbal communication skills
• Strong problem-solving ability with attention to detail
• Ability to manage multiple priorities in a fast-paced environment

Preferred Experience

• Experience supporting healthcare plans, insurance operations, or managed care environments
• Familiarity with claims review, eligibility verification, and authorization workflows
• Experience working within CRM systems and healthcare service platforms
• Strong understanding of confidentiality standards and compliance requirements

Core Competencies

• Customer service excellence
• Analytical thinking
• Attention to detail
• Strong interpersonal communication
• Professional written communication
• Responsiveness and sensitivity
• Reliability and accountability
• Team collaboration
• Adaptability and problem-solving

Alternative Search Titles - Customer Service Representative, Member Services Representative, Healthcare Customer Support Specialist, Claims Support Specialist, Benefits Verification Specialist, Contact Center Representative, Provider Services Representative, Patient Services Representative, Healthcare Call Center Representative, Authorization Support Specialist

Throughout the past 35+ years, MMC, one of the most trusted names in workforce management services, has successfully delivered strategic solutions to large and small businesses in numerous industries.
 
 We have built our reputation on partnering with our clients and candidates to achieve the desired results. Our recruiting professionals have extensive experience matching the right candidate, to the right client, for the right position. We provide the best opportunities to the most talented candidates in a multitude of industries.
 
 MMC is a privately owned business with corporate headquarters in Irving, Texas. With 2,000+ employees, working in 40+ states, MMC is able to support all United States locations, and some international locations.
 
 We appreciate your interest in reviewing this particular position and we encourage you to visit our website where you can always search and apply for opportunities at www.mmcgrp.com 
 
 Benefits with MMC Group
 MMC offers health insurance plans for our active candidates on assignment, including:

• Medical, dental, and vision coverage
• Life and disability insurance
• Additional voluntary benefits

  Join MMC and enjoy the support of a team that values your well-being, both on and off the job!
 
 MMC strives to ensure all job postings confirm details of the position, the rate of pay, and acknowledge that medical benefits are offered.
 
 Get started on your career journey today! Apply to become a part of the MMC Team!
 
 We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.