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Medicare Customer Service Representative - Remote
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Job Description
- Req#: 25003184
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Fully remote position offering flexibility in work location
- Opportunity for career advancement and growth within the organization
- Dynamic and supportive work environment that values employee contributions
- Chance to positively impact the health and well-being of Medicare members
- Competitive benefits package to support employee wellness and satisfaction
What to Expect (Job Responsibilities):
- Handle daily member telephone calls, directing members to appropriate services and educating them on available resources
- Problem-solve and create linkages to the Medical Management Department for service authorization
- Assist providers with eligibility inquiries, benefit explanations, and resolution of claims issues
- Support our Medicare population by addressing their specific needs and concerns
- Maintain accurate records of member interactions and follow up as necessary
What is Required (Qualifications):
- High School Diploma or equivalent certification
- Minimum of one (1) year experience in a customer service-related role with direct contact with customers via telephone, email, chat, and/or face-to-face
How to Stand Out (Preferred Qualifications):
- One (1) year experience in a physician healthcare office environment or high-volume call center
- One (1) year experience and knowledge of HMO, PPO, TPA, PHO, and Managed Care functions
#HealthcareServices #CustomerService #RemoteWork #MedicareSupport #CareerOpportunity
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