Medicare Specialist

Staffmark Group; Columbia (TN); On-site; USD 20,000 - 29,000; Full time

Benefits offered by this job

Competitive weekly pay

Comprehensive medical, dental, and vis

Life and disability insurance

Optional 401(k) plan

Supportive team environment

Job summary

Staffmark Group in Columbia, TN is hiring a Medicare Specialist to handle member inquiries by phone and other channels, document interactions in Facets, and resolve issues while ensuring HIPAA compliance. The role offers opportunities to support Medicare operations and collaborate across teams.

Requirements include a high school diploma, ability to learn Medicare regulations, and strong communication and multitasking skills.

Qualifications

• High school diploma or GED required.
• Ability to learn Medicare regulations, health insurance processes, customer service procedures, and company systems.
• Strong computer, communication, and organizational skills required.

Responsibilities

• Provide exceptional customer service by handling Medicare member inquiries via phone and other channels.
• Accurately document all interactions, research findings, and resolutions in the Facets system.
• Research member questions, identify root causes, and resolve issues efficiently while maintaining standards.
• Ensure compliance with HIPAA and company policies when handling confidential information.
• Support Medicare operations by assisting with adjustment screening, claims verification, and cross-functional projects.
• Collaborate with supervisors and departments to improve service and efficiency.

Skills

Customer service

Communication

Multitasking

Education

High school diploma

Tools

HIPAA knowledge

Job description

Now hiring for a Medicare Specialist

Location: Columbia, TN

Pay Rate: $18.00 per hour

Shift: 7 AM - 5 PM

If You Can Juggle Calls, Chat, and Coffee. We're Impressed.

Looking for Medicare Specialist jobs in Columbia where great communication makes a real difference? This opportunity lets you assist customers, solve problems, and build positive relationships while helping deliver outstanding service every day.

This opportunity is based on a Customer Service Representative career path and is being offered by Staffmark to qualified candidates.

Education Requirements

• High school diploma or GED required.
• Ability to learn Medicare regulations, health insurance processes, customer service procedures, and company systems.
• Strong computer, communication, and organizational skills required.

Experience Requirements

• Minimum 1 year of customer service, member services, medical claims, healthcare administration, call center, or insurance experience preferred.
• Experience handling high-volume inbound calls while maintaining accuracy, professionalism, and outstanding customer service.
• Knowledge of HIPAA privacy standards and confidential information handling preferred.
• Strong problem-solving, multitasking, research, and documentation skills.
• Ability to work independently, prioritize multiple tasks, and collaborate effectively with cross-functional teams.

Physical Capabilities

• Ability to sit for extended periods while working on a computer and telephone.
• Frequent use of computers, data entry systems, and customer service software.
• Ability to communicate clearly with members, providers, internal departments, and external customers.
• Ability to work overtime as needed to support business operations and member service goals.

Job Duties

• Provide exceptional customer service by handling Medicare member inquiries from internal and external customers via phone and other communication channels.
• Accurately document all customer interactions, research findings, and resolutions within the Facets system.
• Research member questions, identify root causes, and resolve issues efficiently while maintaining service and quality standards.
• Ensure compliance with HIPAA regulations and company policies when handling confidential member information.
• Support Medicare operations by assisting with adjustment screening, claims verification, and cross-functional projects as needed.
• Collaborate with supervisors, team members, providers, and other departments to improve service delivery and operational efficiency.
• Monitor and report system issues, process improvement opportunities, and online help resource updates.
• Successfully complete required training programs, maintain performance scorecard standards, and contribute to team goals for quality, productivity, and member satisfaction.

Benefits

• Competitive Weekly Pay
• Comprehensive Benefits including medical, dental, and vision coverage.
• Life and Disability Insurance for added peace of mind.
• Optional 401(k) Plan to help you prepare for the future.
• Supportive Team Environment focused on professional growth and customer success.

"The Staffmark team delivered great service but always checking in on the assignment and making sure everything was going well." Staffmark Associate

About Us

At Staffmark, we connect hardworking people with great companies, creating opportunities that make a lasting impact.

Staffmark is an equal opportunity employer. Allapplicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status, or any other legally protected status. Staffmark offers reasonable accommodations for qualified individuals with disabilities; contact your local branch for inquiries. Staffmark is an E-Verify employer. See our Privacy Notice for Candidates and Employees/Contractors at https://smgroupna.com/privacy-notice-for-candidates-and-employees-contractors. By applying, you consent to receive AI-generated and non-AI-generated calls, texts, or emails from Staffmark Group, its affiliates, and partners. Frequency varies and message/data rates may apply. Reply STOP to cancel or HELP for help.