Medicare Customer Service Representative - Remote

Talentify.io; United States; Remote; USD 35,000 - 50,000; Full time

Job summary

A leading healthcare services company is seeking a remote customer service representative to support Medicare members. This role involves handling member inquiries, educating on services, and assisting providers. Ideal candidates will have a high school diploma and experience in customer service, with opportunities for career advancement in a supportive environment.

Benefits

Flexible work location

Competitive benefits package

Opportunity for career advancement

Qualifications

• Minimum of one year experience in a customer service-related role.
• Direct contact with customers via telephone, email, chat, or face-to-face.

Responsibilities

• Handle daily member telephone calls and educate on available resources.
• Assist providers with eligibility inquiries and claims issues.
• Maintain accurate records of member interactions.

Skills

Customer Service

Problem Solving

Communication

Education

High School Diploma or equivalent

Job description

Employer Industry: Healthcare Services

Why consider this job opportunity:
- Fully remote position offering flexibility in work location
- Opportunity for career advancement and growth within the organization
- Dynamic and supportive work environment that values employee contributions
- Chance to positively impact the health and well-being of Medicare members
- Competitive benefits package to support employee wellness and satisfaction

What to Expect (Job Responsibilities):
- Handle daily member telephone calls, directing members to appropriate services and educating them on available resources
- Problem-solve and create linkages to the Medical Management Department for service authorization
- Assist providers with eligibility inquiries, benefit explanations, and resolution of claims issues
- Support our Medicare population by addressing their specific needs and concerns
- Maintain accurate records of member interactions and follow up as necessary

What is Required (Qualifications):
- High School Diploma or equivalent certification
- Minimum of one (1) year experience in a customer service-related role with direct contact with customers via telephone, email, chat, and/or face-to-face

How to Stand Out (Preferred Qualifications):
- One (1) year experience in a physician healthcare office environment or high-volume call center
- One (1) year experience and knowledge of HMO, PPO, TPA, PHO, and Managed Care functions

#HealthcareServices #CustomerService #RemoteWork #MedicareSupport #CareerOpportunity

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