Remote Medicare Membership & Enrollment Specialist

BlueCross BlueShield of Tennessee; United States; Remote; USD 42,000 - 64,000; Full time

Job summary

BlueCross BlueShield of Tennessee is seeking a remote Membership Account Specialist to support Medicare enrollment processing, eligibility maintenance, and issue resolution with accuracy and timeliness. You will collaborate with underwriters, agents, and cross-functional teams to ensure compliant, high-quality service and to resolve complex membership discrepancies.

Ideal candidates are detail-oriented, analytical, and customer-focused, with strong organizational skills and knowledge of Medicare

Qualifications

• High School Diploma or equivalent required.
• 1 year experience in the healthcare industry required.
• Proficient in Microsoft Office and strong communication skills.

Responsibilities

• Implement filing and documentation procedures; maintain all files current and accurate.
• Communicate with underwriters, agents, and loss control specialists to exchange policy and case information and drive service improvements.
• Meet quality, workload, timeliness, and production standards; apply revisions to procedures as needed.
• Process policies and cases per department procedures; respond to inquiries and resolve membership and benefits issues.

Skills

Communication

Interpersonal skills

Organizational skills

Education

High School Diploma or equivalent

Tools

Microsoft Office Suite

Job description

BlueCross BlueShield of Tennessee is seeking a remote Membership Account Specialist to support Medicare enrollment processing, eligibility maintenance, and issue resolution with accuracy and timeliness. You will collaborate with underwriters, agents, and cross-functional teams to ensure compliant, high-quality service and to resolve complex membership discrepancies.

Ideal candidates are detail-oriented, analytical, and customer-focused, with strong organizational skills and knowledge of Medicare