Member Services Representative

LanceSoft Inc

Akron, OH

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JOB DETAILS

SKILLS

Administrative Skills, Billing, Call Centers, Communication Skills, Corporate Policies, Customer Support/Service, Detail Oriented, Health Insurance, Insurance Regulations, Maintain Compliance, Medicare, Microsoft Windows Operating System, Office Equipment, Organizational Skills, Patient Confidentiality, Presentation/Verbal Skills, Problem Solving Skills, Quality Metrics, Regulations, Time Management, VPN (Virtual Private Network), Writing Skills

LOCATION

Akron, OH

POSTED

30+ days ago

Enter Job Description...

The Member Services Representative provides personalized, professional support to Medicare members by responding to inquiries related to enrollment, eligibility, benefits, billing, claims, and authorizations. This role requires strong customer service skills, attention to detail, and the ability to work in a fast-paced call center environment while maintaining regulatory compliance and confidentiality.
Essential Responsibilities
" Provide high-quality customer service via phone, electronic communication, or in person
" Respond to inquiries regarding enrollment, benefits, claims, billing, eligibility, and authorizations
" Accurately document all member interactions in the tracking system
" Meet or exceed departmental production and quality standards
" Maintain working knowledge of Medicare and health insurance regulations
" Use internal systems such as Amisys and Macess (training provided as needed)
" Exercise independent judgment and problem-solving skills
" Maintain strict confidentiality of member health and business information
" Comply with all regulatory, departmental, and company policies
Minimum Qualifications
Education:
" High School Diploma or GED (College coursework preferred)
Experience:
" Minimum 1 year of customer service experience
" Call center or administrative support experience preferred
" Medicare and/or health insurance experience strongly preferred
Required Skills & Competencies
" Strong written and verbal communication skills
" Professional, empathetic, and service-oriented phone presence
" Ability to work efficiently in a fast-paced environment
" Proficiency in Windows-based systems
" Comfortable using VPN, headset, and standard office equipment
" Strong time management and organizational skills
" Ability to maintain professionalism and confidentiality

EEO Employer
LanceSoft is a certified Minority Business Enterprise (MBE) and an equal opportunity employer. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.
This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. LanceSoft makes hiring decisions based solely on qualifications, merit, and business needs at the time.

About the Company

LanceSoft Inc

We are a $125 Million, NMSDC-certified Minority & Woman owned Workforce Solutions Company headquartered in the DC metro area with presence across US with global presence - Canada, Mexico, India, UK, Malaysia, Indonasia, Hongkong, Singapore, UAE. We are specialized in providing Workforce Solutions, SOW project delivery, Engineering Solutions, Creative Services. We currently support 100+ Fortune companies globally and across multiple industry segments. We are currently supporting several massive programs across industry segment nationally/globally (Intel, Ally, AMD, QUALCOMM, Morgan Stanley, Kraft/ Mondelez, MNP, Amdocs, Dell, SanDisk, Medtronic, Becton Dickinson, GE, Lockheed Martin, UTC, L-3 Communications, Caterpillar, BMW, Mercedes Benz, National Grid, Dominion, Energy Future Holdings, PSEG, 3M, Fidelity, Aetna, Humana, Johnson & Johnson, Pfizer, Merck etc).

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender, identity, national origin, disability, or protected veteran status.

COMPANY SIZE

2,000 to 2,499 employees

INDUSTRY

Staffing/Employment Agencies

FOUNDED

2000

WEBSITE

http://www.lancesoft.com/

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