Member Services Representative

Integrated Resources, Inc.; Rhode Island; Remote; USD 40,000 - 55,000; Full time

Job summary

Une entreprise dynamique recherche un représentant des services aux membres pour un contrat de 4-5 mois. Le rôle consiste à fournir un service client de première ligne dans un environnement de centre d'appels rythmé, avec un fort accent sur le respect des normes CMS concernant l'inscription Medicare Part D et un soutien client de qualité.

Qualifications

• 3 années d'expérience avec les directives CMS pour l'inscription Medicare Part D.
• Capacité à travailler de manière autonome et en équipe.
• Compétences organisationnelles exceptionnelles.

Responsibilities

• Assurer une assistance client en répondant aux questions des membres dans un environnement d'appels entrants.
• Travailler avec les nouveaux clients membres pour déterminer l'éligibilité et effectuer des activités d'inscription.
• Assurer un support client précis et en temps opportun pour garantir l'inscription et la rétention des clients.

Skills

Communication écrite

Gestion des priorités

Travail en équipe

Prise de décision

Education

Diplôme de lycée ou GED

Baccalauréat en Administration des affaires, Marketing, Finance ou domaine similaire

Job description

Job Title: Member Services Representative

Location: Remote (Must live in Oklahoma, but 100% remote)

Duration: 4-5 Months (Contract to hire)

Job Description:

• Front line customer service inbound call center representative (telephonic - no sales) assisting members, prospective members, and providers with questions regarding benefits, pharmacy services, provider listings, etc., in a high volume, fast-paced call center environment.
• Working with our new member clients to determine eligibility and perform various enrollment activities. Interface with both individual plan members and employer groups, requiring a strong focus on accurate and timely customer support to ensure client enrollment and retention. Reports directly to the Enrollment Supervisor and functions as SME (Subject Matter Expert) in the functions, processes, and eligibility procedures related to Medicare Part D enrollment and CMS (Center for Medicare/Medicaid Services) standards.

Required Experience:

• Must live in Oklahoma, but 100% remote
• At least 3 years of related experience with CMS guidelines for Medicare Part D enrollment processes or previous work in a regulatory environment.
• Comfortable in both team player and team lead roles.
• Dependable, responsible, and accountable.
• Excellent spoken and written communication skills.
• Capable of managing through transitions while fostering a positive team environment.
• Confident in decision-making within strict timelines.
• Exceptional prioritization and organizational skills.
• Acts with integrity and uses sound judgment when dealing with confidential information.

Required Education:

High school diploma or GED required; Bachelor's degree in Business Administration, Marketing, Finance, or a similar field preferred with 2+ years of relevant work experience.