Member Care Representative

Mpathic

Member Care Representative at Mpathic LLC handling calls for a Catholic Values health insurance company. Responsibilities include member inquiries, eligibility verification, and data management.

Posted 6/30/2026full-timeRemote • Texas • 🇺🇸 United StatesMid-LevelSenior💰 $20 - $23 per hourWebsite

Tech Stack

Tools & technologies

MacOS

About the role

Key responsibilities & impact

Uphold and integrate the customer’s Catholic and Christian identity to foster the teachings of the Church in all aspects of job performance.
Strictly adhere to HIPAA guidelines, conducting rigorous identity verification before disclosing any protected health information.
Verify member eligibility and gather necessary information to assist with member inquiry.
Efficiently authenticate and respond to provider request regarding patient policy status, effective dates of coverage, benefits, claim status, and other inquiries.
Inform members and providers on services requiring prior authorization and track the status of pending requests.
Maintaining detailed, audit-ready logs of every call, chat, and email interaction, including clear notes on the specific resolution or next steps promised.
Assist with producer support by performing regular DOI portal audits and checking Sircon credentials to verify active licensing status.
Perform other duties as assigned.

Requirements

What you’ll need

Strong verbal and written communication skills.
General understanding of health insurance terminology
A habit of empathy, placing the needs of prospective members above other considerations.
Knowledge of or experience with Individual Health insurance in the state of TX a plus.
Working knowledge of Catholic Church teachings on the sanctity of life.
Spanish Language Proficiency is preferred.
Customer Service experience preferred, though not required.
High School Diploma or equivalent required, college degree preferred.
Strong interpersonal skills, ability to work on a close-knit team and autonomously.
Professional, courteous, and generous work attitude with a desire and ability to learn.
Ability to identify solutions based on established processes and procedures.
Meticulous habits in logging sales interactions via established business processes and tools.
Effectively drive and manage progress through sales development stages to secure increased membership for our customer.
Experience working with Office365 applications.
Experience working with CRMs and Contact Center platforms preferred.
Reliable non-Chromebook computer (Windows 11 or macOS 12+)
Second monitor is preferred.
8 GB RAM minimum (16 GB preferred); SSD recommended
High-speed internet (25 Mbps download / 5 Mbps upload or better)
Ability to support video conferencing (webcam, USB wired headset with mic)
Comfortable installing required software, updates, and security tools (VPN, MFA, endpoint protection)
Secure, private workspace suitable for professional calls during business hours.
Must clear all required background checks.
Must be able to provide proof of eligibility to legally work in the United States.

Benefits

Comp & perks

Structured training and real coaching - not “figure it out on your own”
Clear path to advancement for high performers
A team culture that values effort, integrity, and growth
Meaningful work supporting organizations that impact real people.
Discretionary performance bonuses

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

Identity VerificationMember Eligibility VerificationPrior Authorization TrackingSales Development ManagementCRM Experience

Soft Skills

EmpathyInterpersonal SkillsProfessional AttitudeTeam CollaborationProblem-Solving