Remote Medicare Appeals Support Specialist

Talentify; McLean (VA); Remote; USD 22,000 - 28,000; Full time

Job summary

Talentify is seeking a Customer Service Representative to support the Medicare Appeal process by answering calls, resolving questions, and handling requests in line with internal policies.

You will log interactions, gather demographic data, and coordinate with Review Supervisors and external providers. The role emphasizes accuracy, productivity, and courteous service, with remote work options and a focus on Medicaid program knowledge.

Qualifications

• High School diploma or equivalent.
• 2+ years customer service/telephone experience in a similar call center environment.
• Ability to effectively communicate with team members and external customers.
• Ability to research and resolve issues related to Medicaid program and service eligibility.

Responsibilities

• Answers incoming telephone calls, resolving customer questions, complaints and requests per internal policies.
• Interacts with hospitals, physicians, beneficiaries, or other program recipients; investigates and resolves issues or escalates accordingly.
• Logs and retrieves information using automated systems; performs accurate data entry of electronic faxes.

Skills

Customer service

Telephone experience

Communication

Issue resolution

Education

High School diploma or equivalent

Tools

Microsoft Office Suite

Job description

Talentify is seeking a Customer Service Representative to support the Medicare Appeal process by answering calls, resolving questions, and handling requests in line with internal policies.

You will log interactions, gather demographic data, and coordinate with Review Supervisors and external providers. The role emphasizes accuracy, productivity, and courteous service, with remote work options and a focus on Medicaid program knowledge.