Member Services Representative

MEDICARE MEMBER SERVICES REPRESENTATIVE | REQUIREMENTS:

• Education: High School Diploma or GED (verifiable) | College coursework or additional education (preferred).
• Attendance: Commitment to mandatory attendance during the first 90 days.
• 2+ years of call center (customer service) required.
• Experience in Medicare, Medicaid, health insurance, or healthcare customer service -specifically explaining plans to patients required.
• Strong verbal and written communication skills.
• Excellent organizational and time-management abilities.
• Proficiency with Windows-based computer systems and standard office software.
• Ability to multitask and work efficiently in a fast-paced environment.
• Strong keyboarding and computer navigation skills.
• Requires strong attention to detail and the ability to manage multiple priorities.
• Ability to maintain confidentiality and professionalism at all times.
• Preferred: Knowledge of healthcare regulations, insurance processes, and member services operations.

Work Environment

• Fast-paced customer service environment - frequent telephone communication with members.
• Prolonged periods of sitting and computer use.
• Occasional lifting of up to 20 pounds.

Take the Next Step!

Join a company that values your growth and contributions. If you’re interested in the Medicare Member Services Representative role apply now or contact us for immediate consideration!

Brittney Blackman

MEDICARE MEMBER SERVICES REPRESENTATIVE | RESPONSIBILITIES:

• Provide personalized support to members via phone and electronic communication.
• Assist with questions related to enrollment, benefits, eligibility, billing, claims, and authorizations.
• Accurately, document member inquiries, concerns, and resolutions within internal systems.
• Route issues appropriately to ensure timely and effective resolution.
• Meet established productivity, quality, and service standards.
• Demonstrate empathy, professionalism, and a customer-first approach during all interactions.
• Maintain knowledge of healthcare and insurance-related policies, procedures, and regulations.
• Utilize sound judgment and problem-solving skills to address member concerns.
• Protect confidential member and business information in compliance with company policies and regulations.
• Collaborate with internal teams to provide timely and effective member support.