Remote Customer Experience Specialist - Medicare Support

Alignment Health; United States; Remote; USD 42,000 - 54,000; Full time

Job summary

Alignment Health is seeking a Customer Experience Specialist to deliver compassionate, seamless service to our members, primarily seniors and individuals with disabilities. This remote role requires residing in Las Vegas, NV for consideration and involves owning each interaction from start to finish while navigating multiple systems with HIPAA compliance.

The position emphasizes empathy, accurate documentation, and first-call resolution.

Qualifications

• Requires 2+ years in customer service/healthcare or Medicare Advantage
• High school diploma required; degree preferred; 3+ years experience considered in lieu of degree
• Demonstrates empathy, patience, and respect with older adults and individuals with disabilities
• Ability to navigate multiple systems and maintain HIPAA confidentiality
• Strong verbal communication and ability to document interactions accurately
• Typing speed of 40 WPM; able to handle high call volumes and shifts
• Bilingual skills preferred: Spanish, Vietnamese, Korean, Mandarin, or Cantonese

Responsibilities

• Build caring connections with every member with empathy and respect.
• Own each member interaction end-to-end and resolve inquiries at first contact.
• Deliver exceptional service and strive for first-call resolution.
• Respond to inquiries about benefits, eligibility, services, policies, and procedures clearly.
• Assist with provider networks, claims, reimbursements, and other support services.
• Handle inbound contacts within service levels and manage complex situations professionally.
• Document all interactions in real time for continuity of care.
• Address complaints and disenrollment concerns and escalate when needed.
• Support outbound outreach to improve engagement and education.
• Represent Alignment Health with integrity and a serving-heart mindset.
• Participate in ongoing coaching to strengthen service skills.

Skills

Empathy

Verbal communication

HIPAA compliance

Typing 40 WPM

Outlook/Word/Excel/CRM

Bilingual (Spanish, Vietnamese, Korean

Problem solving

Customer service experience

Education

High school diploma

Associate/Bachelor’s preferred

3+ years experience in lieu of degree

Tools

Outlook

Word

Excel

CRM

Job description

Alignment Health is seeking a Customer Experience Specialist to deliver compassionate, seamless service to our members, primarily seniors and individuals with disabilities. This remote role requires residing in Las Vegas, NV for consideration and involves owning each interaction from start to finish while navigating multiple systems with HIPAA compliance.

The position emphasizes empathy, accurate documentation, and first-call resolution.