Member Services Operations Coordinator

Adecco is currently assisting a Client in their search to fill a Member Services Operations Coordinator position located in Hilo, HI 96720

 

Pay Rate: $24.00/HR

Shift: Monday – Friday 8am – 5pm EST

1+ year

 

Primary Purpose:

The Member Services Operations Coordinator serves as the first point of contact for members visiting the Client Community Plan office. This role is responsible for delivering exceptional customer service, supporting healthcare-related inquiries, coordinating office logistics, and serving as the on-site liaison for internal staff and external partners. The coordinator ensures smooth daily operations, facilitates communication, and supports a welcoming and efficient environment for members and staff.

 

Job Responsibilities:

• Provide customer service to walk-in customers of the health plan.

• Answer questions about but is not limited to: Eligibility, plan benefits, pharmacy, prior authorization.

• Check the member services email for any member-related inquiry and respond accordingly: Member initiated inquiry: Redirect member to call the call center.; Internal staff inquiry: Process/respond.

• Member Advisory Group will have on-site meetings every quarter.

• Responsible for coordinating the event, ordering food. Allows member to voice any hot topics, issues/concerns about members going on out there in the community.

• Check and respond to voicemails left on Member Medicaid and DSNP voicemail on daily basis.

• Log voicemails in tracking log in L drive.

• Outreach to members and address inquiries/concerns.

• Triage voicemails that are not pertinent to member services (e.g. provider services, HC request).

• Triage DSNP calls to assigned Navigator. If no Navigator, send to team leads or DSNP Navigation Supervisor to assign out for outreach.

• Perform intake, triage, outreach and respond to requests for member reimbursements.

• Mail out only urgent public-facing forms/material on request.

• Outreach to members who have been discharged from the facilities.

• Perform tasks assigned by Supervisor/Manager.

 

Qualifications:

• High school diploma or equivalent required; associates or bachelor’s degree preferred.

• 2+ years of experience in a healthcare, customer service, or administrative role.

• Strong interpersonal and communication skills, with a compassionate and professional demeanor.

• Proficiency in Microsoft Office Suite and ability to learn internal systems (e.g., CRM, claims platforms).

• Bilingual skills a plus, depending on member population.

 

This Member Services Operations Coordinator is being recruited by one of our Centralized Delivery Team and not your local Branch. For instant consideration for this Member Services Operations Coordinator position and other opportunities with Adecco, apply today!

 

Pay Details: $24.00 per hour

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Equal Opportunity Employer/Veterans/Disabled

Military connected talent encouraged to apply

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The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

• The California Fair Chance Act
• Los Angeles City Fair Chance Ordinance
• Los Angeles County Fair Chance Ordinance for Employers
• San Francisco Fair Chance Ordinance

Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.