Medicare Member Care Specialist

Minority Professional Network, Inc.; Chicago (IL); On-site; USD 36,000 - 48,000; Full time

Job summary

Zing Health is seeking a Customer Service Representative to be the primary contact for members, providers, and brokers. You will handle inquiries about health insurance benefits, eligibility, and claims with accuracy and professionalism.

You will analyze problems, communicate clear solutions, and work with physician office staff to support coordinated care. Strong oral and written communication, empathy, and teamwork are essential.

Qualifications

• Minimum of a high school diploma or equivalent.
• Prior experience in Customer Service in a Managed Care Organization preferred.
• Ability to type a minimum of 35 words per minute.
• Knowledge of managed care processes and health insurance coverage preferred.
• Outstanding communication skills to handle escalated customer needs.

Responsibilities

• Respond to member/provider/agent/broker inquiries via telephone regarding health insurance benefits, eligibility, and claims.
• Analyze problems and provide correct information and solutions.
• Communicate monthly messages to providers on a specific need basis.
• Treat customers with tact and empathy and establish effective relationships with physician office staff.
• Read, comprehend, and verbalize processes and procedures of the organization and health insurance coverage.
• Multi-task and pay close attention to detail.

Skills

Communication skills

Analytical skills

Problem solving

Typing speed

Teamwork

Empathy

Education

High school diploma or equivalent

Tools

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Job description

Zing Health is seeking a Customer Service Representative to be the primary contact for members, providers, and brokers. You will handle inquiries about health insurance benefits, eligibility, and claims with accuracy and professionalism.

You will analyze problems, communicate clear solutions, and work with physician office staff to support coordinated care. Strong oral and written communication, empathy, and teamwork are essential.