Medicare HelpLine Support Specialist

DOMA Technologies, LLC; Virginia Beach (VA); On-site; USD 21,000 - 30,000; Full time

Job summary

Commence is seeking a Patient Service Representative (Clerk III) to inform beneficiaries, triage calls, and support the Medicare Helpline. The role involves handling records, coordinating mailings, and maintaining accurate data within compliance frameworks.

The position requires strong communication, attention to detail, and knowledge of CMS/Medicare processes, with in-office work and potential for security-auditing support. Equal opportunity employer with accommodations on request.

Qualifications

• Experience as a call center or patient service representative.
• Knowledge of medical terminology and medical record documentation.
• Familiarity with CMS, Medicare and BFCC-QIO programs.
• Ability to work with HIPAA/HITECH rules.

Responsibilities

• Inform beneficiaries of rights and responsibilities under Medicare.
• Triages beneficiary calls and handles case intake.
• Staffs the Medicare Helpline as required.
• Maintain accurate mailing lists and coordinate mailings.
• Enter data into electronic systems accurately and timely.
• Support ISO audits preparation and participate in quality improvements.
• Protect confidentiality of beneficiary information per HIPAA/HITECH.

Skills

Oral & written communication

Attention to detail

Interpersonal skills

Data entry

Problem solving

Teamwork

Independent work

Education

Associate degree in business education or health information management

Graduation from secretarial school with 3 years experience

HS diploma/GED with 4 years related experience; MS Word & Excel

Tools

Microsoft Word

Microsoft Excel

CMS/BFCC-QIO knowledge

Job description

Commence is seeking a Patient Service Representative (Clerk III) to inform beneficiaries, triage calls, and support the Medicare Helpline. The role involves handling records, coordinating mailings, and maintaining accurate data within compliance frameworks.

The position requires strong communication, attention to detail, and knowledge of CMS/Medicare processes, with in-office work and potential for security-auditing support. Equal opportunity employer with accommodations on request.