Remote Medicare Member Services Specialist (Seasonal)

Mount Carmel Health System; Columbus (OH); Remote; USD 22,000 - 30,000; Full time

Job summary

Mount Carmel Health System is seeking a Member Service Representative for a remote, temporary position through April 2027. The role focuses on handling consumer inquiries about Medicare Advantage plan benefits and services, while ensuring compliance with CMS regulations.

Schedule is M-F, 8am-4:30pm or 8:30-5pm EST, with emphasis on high-quality customer service. Experience in Medicare Advantage, managed care, health insurance, and call center environments is beneficial.

Qualifications

• Customer service experience and knowledge of governmental agencies/regulations, especially CMS.
• Effective communication skills and ability to retain customers and think strategically.
• Ability to organize and multitask in a high-volume, fast-paced team environment.

Responsibilities

• Respond to consumer inquiries by phone, in person or in writing regarding plan benefits, services and CMS regulations.
• Achieve service level goals for Medicare Managed Care call center.
• Utilize interpreters to assist limited English speaking consumers when needed.
• Provide accurate information and compassionate service while complying with federal regulations.
• Engage with members and providers to close gaps in care and gather accurate information.

Skills

Customer service

Communication skills

Multitasking

CMS knowledge

Education

High school diploma with some college

Job description

Mount Carmel Health System is seeking a Member Service Representative for a remote, temporary position through April 2027. The role focuses on handling consumer inquiries about Medicare Advantage plan benefits and services, while ensuring compliance with CMS regulations.

Schedule is M-F, 8am-4:30pm or 8:30-5pm EST, with emphasis on high-quality customer service. Experience in Medicare Advantage, managed care, health insurance, and call center environments is beneficial.