Customer Service Representative (8/4 Start Date)

MedStar Health; Madison (WI); Remote; USD 33,000 - 53,000; Full time

Job summary

A leading healthcare company is seeking a Customer Service Representative to handle inbound calls regarding claims, enrollment, and billing. This role ensures high levels of service satisfaction while providing thorough support for members. Candidates will undergo 4-6 weeks of paid training and be eligible for career advancement opportunities within the organization.

Benefits

Comprehensive benefits package

401K contributions

Paid volunteer time off

Flexible working hours

Supportive environment for continual growth

Qualifications

• 2 years of related customer service experience.
• Experience in a healthcare environment preferred.

Responsibilities

• Resolve service inquiries for claims, enrollment, billing, and pharmacy.
• Utilize service recovery process for assisting members in complex situations.
• Provide exceptional service satisfaction and quality.

Skills

Verbal and written communication

Customer service experience

Multi-tasking

Ability to identify process improvements

Education

HS diploma or equivalent

Job description

Customer Service Representative (8/4 Start Date)

This is a 100% inbound customer service environment, with no cold calling or prospecting required. Medica's Customer Service Representatives are the primary contact for members to resolve service inquiries for claims, enrollment, billing, and pharmacy, as well as interpret contracts and explain benefits. They work telephonically and are responsible for exceptional levels of service satisfaction, providing quality service, and the service recovery process. The service recovery process is critical, and our Customer Service Representatives will utilize this process to assist members in complex situations.

Our customer service department offers a fast-paced and rewarding environment where you will receive 4-6 weeks of paid training, comprehensive benefits, and a supportive environment that fosters continual growth! Successful Customer Service Representatives build an amazing base of health plan and health claims knowledge that they leverage to be considered for career advancement opportunities throughout the Call Center and other areas of Medica's business.

Training: 4-6 weeks of paid remote training (8:00-4:30pm CST M-F)

This class has multiple openings and will start on Monday, August 4, 2025. Training hours are Monday through Friday from 8:00am-4:30pm CST; after initial training shifts do change, and will range from 8:00am-5:30pm CST Monday-Friday.

Qualifications:

Minimum requirement is HS diploma, or equivalent

2 years of related Customer Service experience

Skills and Abilities:

Customer Service experience in a Healthcare related setting preferred

Excellent verbal and written communication skills

Able to deliver high-quality service to Medica's members

Ability to interact with the team and support each other in dealing with customer issues

Advanced ability to multi-task and manage time efficiently is needed

An ability to identify process improvements, provide mentor and peer feedback, and develop knowledge of multiple products and platforms

Demonstrated ability to learn quickly and respond well to a rapidly changing industry and operational environment

This position is a Remote role and will work remotely 100% of the time. To be eligible for consideration, candidates must have a primary home address located within any state where Medica is registered as an employer - AR, AZ, FL, GA, IA, IL, KS, KY, MD, ME, MI, MN, MO, ND, NE, OK, SD, TN, TX, VA, WI.

The full salary range for this position is $33,000-$52,100. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.

The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.

We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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