Medicare Advantage Member Services Specialist

Siho Insurance Group; Columbus (IN); Hybrid; USD 36,000 - 48,000; Full time

Job summary

SIHO Insurance Services seeks a Medicare Advantage Member Services Representative in Columbus, IN to respond to member and provider inquiries, explain benefits, and advocate for members. This non-exempt role involves handling phone, written, and walk-in interactions, with focus on first-call resolution and HIPAA-compliant service.

The position requires a High School Diploma and 2 years of customer service experience; familiarity with Medicare Advantage is a plus, and a hybrid in-office/remote

Qualifications

• Passion for customer service and helping members.
• Excellent written and verbal communication skills.
• Basic health insurance knowledge and Medicare basics preferred.
• Strong emotional intelligence to resolve issues.
• Commitment to attendance and patient confidentiality per HIPAA.

Responsibilities

• Assist members and providers by explaining benefits and resolving questions.
• Respond to inquiries via phone and written channels; assist walk-ins as needed.
• Record inquiries, complaints, and transactions accurately.
• Escalate unresolved issues to appropriate teams in a timely manner.
• Support teammates to ensure consistent member service quality.

Skills

Customer service passion

Communication skills

Health insurance knowledge

Medicare Advantage knowledge

Emotional intelligence

Attendance & reliability

Professional appearance

HIPAA confidentiality

Education

High School Diploma

Tools

Microsoft Office

Job description

SIHO Insurance Services seeks a Medicare Advantage Member Services Representative in Columbus, IN to respond to member and provider inquiries, explain benefits, and advocate for members. This non-exempt role involves handling phone, written, and walk-in interactions, with focus on first-call resolution and HIPAA-compliant service.

The position requires a High School Diploma and 2 years of customer service experience; familiarity with Medicare Advantage is a plus, and a hybrid in-office/remote