Medicare Member Support & Education Specialist

Farmington Displays, Inc.; Novi (MI); On-site; USD 28,000 - 29,000; Full time

Job summary

Health Alliance Administrators in Novi, MI is seeking a Medicare Member Experience Specialist to educate members about their Medicare plan and help them access benefits. The role handles outbound and inbound calls to support enrollment and resolve barriers.

You will respond to complex questions, follow CMS guidelines, and maintain familiarity with state and federal regulations. A minimum of two years in health insurance customer service and one year with Medicare members is required; bachelor’s

Qualifications

• Minimum of 2 years claims/customer service experience at a medical health insurance carrier.
• Minimum of 1 year experience in working directly with Medicare members.
• Must be located in Michigan with the ability to commute to and work from our southeast Michigan office locations.
• Proficiency in daily, active use of Excel, CRM systems and the ability to learn other software as needed.

Responsibilities

• Make proactive outreach to members via telephone to provide education and assistance regarding the Medicare benefits.
• Respond to complex Medicare beneficiary questions about plan benefits and accessing care.
• Follow all regulatory guidelines, scripting and policies.
• Demonstrate and maintain knowledge of all state and regulatory guidelines by adhering to program requirements implemented by CMS.

Skills

Excel

CRM systems

Education

Bachelor's degree preferred

Tools

CRM software

Job description

Health Alliance Administrators in Novi, MI is seeking a Medicare Member Experience Specialist to educate members about their Medicare plan and help them access benefits. The role handles outbound and inbound calls to support enrollment and resolve barriers.

You will respond to complex questions, follow CMS guidelines, and maintain familiarity with state and federal regulations. A minimum of two years in health insurance customer service and one year with Medicare members is required; bachelor’s