Medicare & Medicaid Care Advisor (CSR)

Vitalizing Business Solutions, Inc.; Winchester (KY); On-site; USD 17,000 - 24,000; Full time

Job summary

Vitalizing Business Solutions, Inc. in Winchester, KY is seeking a Customer Service Representative to be the primary contact for ACA beneficiaries seeking assistance with healthcare benefits.

Based in a Winchester call center, the CSR will resolve inquiries, guide beneficiaries through CMS processes, and document interactions in the CRM with accuracy while complying with HIPAA and CMS regulations. This non-exempt role may include overtime and holiday shift coverage.

Qualifications

• High School Diploma or GED is required.
• Minimum of 1 year of customer service experience.
• Ability to read and write English clearly and professionally.
• Excellent verbal and written communication skills.
• Proficient with call center software.
• May be required to work overtime and holidays.
• Must work on-site at Winchester, KY office.

Responsibilities

• Answer inbound calls from Medicare/Medicaid beneficiaries about benefits and enrollment.
• Assist callers with statements, enrollment steps, and provider lookup.
• Adhere to CMS regulations, HIPAA, and company policies.
• Document interactions in the CRM accurately.
• Escalate complex issues to supervisors and ensure timely follow-up.
• Maintain up-to-date knowledge of CMS program updates.

Skills

Customer service

Call center

Active listening

Data entry

MS Office

Education

High School Diploma or GED

Tools

Microsoft Office Suite

Job description

Vitalizing Business Solutions, Inc. in Winchester, KY is seeking a Customer Service Representative to be the primary contact for ACA beneficiaries seeking assistance with healthcare benefits.

Based in a Winchester call center, the CSR will resolve inquiries, guide beneficiaries through CMS processes, and document interactions in the CRM with accuracy while complying with HIPAA and CMS regulations. This non-exempt role may include overtime and holiday shift coverage.