Member Services Representative - PST/MST TIME ZONE
Company: ArchWell Health
Location: Tucson
Posted on: April 3, 2026
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Job Description:
This is for PST/MST TIME ZONE ArchWell Health is a new,
innovative healthcare provider devoted to improving the lives of
our senior members. We deliver best-in-class care at comfortable,
accessible neighborhood clinics where seniors can feel at home and
become part of a vibrant, wellness-focused community. Our members
experience greater continuity of care, as well as the comfort of
knowing they will be treated with respect by people who genuinely
care about them, their families, and their communities. Job
Summary: The Member Services Representative is responsible for
providing outreach to our members to help them navigate the complex
healthcare delivery system. This will entail verifying their
primary care physician and eligibility and contacting their
insurance plan when applicable to ensure they are assigned to
ArchWell Health. This role has the potential to handle provider
data management and will need to verify AWH provider information
with these insurance partners when applicable. An ideal candidate
will have a deep understanding of the healthcare ecosystem, have
strong attention to detail, and be driven by a passion for
providing quality care to seniors. Duties/Responsibilities:
Outreach to members and insurance partners over the phone to verify
members are assigned to ArchWell Health and schedule members for
appointments Complete proper documentation of all member and payor
outreach Assist members in problem solving potential issues related
to the health care system Validate provider data on file with
insurance partners Utilize and manipulate shared Excel spreadsheets
to track membership and interactions. Required Skills/Abilities:
Proficient PC skills to include Microsoft Office and Excel Passion
for helping senior members successfully carry out care plans
Ability to work effectively with diverse populations including
staff, providers, members, family members, insurance carriers,
vendors, and the public Basic medical terminology Understanding of
Medicare Advantage Education and Experience: High school diploma or
equivalent education (GED) required A minimum of one year working
in healthcare, ideally with experience related to benefits and
insurance required eClinical Works or similar EMR experience
preferred ArchWell Health is an equal opportunity employer.
Qualified applicants will receive consideration for employment
without regard to their race, color, religion, age, sex, sexual
orientation, gender identity, national origin, disability, veteran
status, or any other protected classification.
Keywords: ArchWell Health, Casa Adobes , Member Services Representative - PST/MST TIME ZONE, Administration, Clerical , Tucson, Arizona
