Remote Health Plan CSR — Medicare Advantage Support

Johns Hopkins Medicine; United States; Remote; USD 25,000 - 35,000; Full time

Benefits offered by this job

Remote work

Equipment provided

Job summary

Johns Hopkins Health Plan is seeking a remote Customer Service Representative to support members, providers, and internal staff. The role involves handling inbound calls, resolving eligibility, enrollment, and claims inquiries with accuracy, empathy, and professionalism.

The CSR will navigate multiple systems, document interactions, and strive for first-call resolution while maintaining high service standards. Prior experience in health insurance and Medicare Advantage is preferred.

Qualifications

• High school diploma or equivalent.
• Inbound call center experience preferred, ideally in health insurance.
• Medicare Advantage experience preferred.
• Strong problem-solving and communication skills.
• Proficient in Microsoft Office (Word, Excel, Outlook).
• EPIC experience a plus; training available.
• Residence in MD, DE, PA, VA, DC, or FL.

Responsibilities

• Answer inbound calls from Medicare Advantage members, providers, and internal stakeholders with empathy and professionalism.
• Handle inquiries on benefit eligibility, enrollment, and claims status.
• Research using available resources to resolve inquiries within CMS guidelines and internal policies.
• Demonstrate strong listening skills and address member needs.
• Work independently while collaborating with team for first-call resolution.
• Navigate multiple systems to resolve complex issues for members.
• Contribute to positive member experience and STAR ratings.
• Make outbound calls for surveys and to resolve issues.
• Communicate clearly in writing and speech.
• Adapt to changes in a dynamic environment.

Skills

Problem-solving

Communication

Inbound call center experience

Medicare Advantage experience

In-depth listening

Education

High school diploma or equivalent

Tools

Microsoft Office

EPIC

Job description

Johns Hopkins Health Plan is seeking a remote Customer Service Representative to support members, providers, and internal staff. The role involves handling inbound calls, resolving eligibility, enrollment, and claims inquiries with accuracy, empathy, and professionalism.

The CSR will navigate multiple systems, document interactions, and strive for first-call resolution while maintaining high service standards. Prior experience in health insurance and Medicare Advantage is preferred.