Medicare Member Support Specialist

Alohacare; Lihue (HI); On-site; USD 23,000 - 29,000; Full time

Benefits offered by this job

Low-cost medical insurance

Dental insurance

Vision insurance

Prescription drug coverage

Paid time-off

401k employer contribution

Referral bonus

Pre-tax transportation and parking

Job summary

AlohaCare is seeking a Customer Service Representative to support members and providers across inbound/outbound calls, emails, texts, and chats. The role emphasizes accuracy, courtesy, and problem-solving to retain customer business and satisfaction.

The successful candidate will handle enrollment questions for QUEST Integration and Medicare, maintain data integrity, and comply with all regulatory guidelines. Strong communication and multitasking skills are essential.

Qualifications

• Minimum of 1 year of customer service, sales and/or customer facing responsibilities
• Minimum of 1 year of call center experience
• Minimum of 1 year of healthcare administration experience
• Bilingual or multilingual – Chuukese, Marshallese, Korean, Ilocano or Tagalog speakers given special consideration

Responsibilities

• Fields a wide range of incoming member and provider routine and complex calls, emails, texts, and chats concerning benefits, services, claims, and other inquiries
• Handle member inquiries, complaints, concerns, and discrepancies professionally and with care
• Work across multiple queues/skill sets over various client contact channels
• Assist members with enrollment processes into QUEST Integration and Medicare programs
• Maintain data integrity by entering and updating information in member and provider databases
• Produce copies, mailings, faxes, and record all correspondence as indicated
• Adhere to regulatory compliance and AlohaCare policies
• Handle confidential information in accordance with policy and law
• May require extended periods of sitting and computer work

Job description

AlohaCare is seeking a Customer Service Representative to support members and providers across inbound/outbound calls, emails, texts, and chats. The role emphasizes accuracy, courtesy, and problem-solving to retain customer business and satisfaction.

The successful candidate will handle enrollment questions for QUEST Integration and Medicare, maintain data integrity, and comply with all regulatory guidelines. Strong communication and multitasking skills are essential.