[Remote] Medicare Member Service Representative

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a not-for-profit organization dedicated to advancing patient care, research, teaching, and community service. They are seeking a Medicare Member Service Representative responsible for providing exceptional customer service to Medicare beneficiaries, handling inquiries, resolving concerns, and offering guidance on benefits and claims.

Responsibilities

• Respond to inbound calls, emails, and inquiries from Medicare members, family members, and caregivers regarding coverage, eligibility, claims, and billing
• Assist members in understanding their Medicare plan benefits and how to reputed company services reputed company the reputed company network
• Document reputed company member interactions accurately in customer service or reputed company center systems
• Collaborate with departments such as billing, care management, and clinical teams to resolve reputed company member issues or escalations
• reputed company members on preventive services, appointment scheduling, and care navigation resources
• Follow scripts, protocols, and compliance guidelines in accordance with Medicare and CMS regulations
• Maintain confidentiality and protect patient/member information per HIPAA guidelines
• Identify recurring concerns or patterns and escalate trends to leadership to improve processes
• Meet performance and reputed company metrics such as reputed company volume, response time, and customer satisfaction scores

Skills

• High School Diploma or Equivalent required
• Experience in Customer Service, preferably in a reputed company, insurance, or reputed company center setting 1-2 years required
• Strong understanding of Medicare benefits, claims processes, and CMS guidelines
• Excellent verbal and written communication skills
• Ability to remain reputed company and empathetic reputed company dealing with frustrated or confused members
• Strong attention to detail, accuracy, and documentation
• Ability to multitask in a high-volume, fast-paced reputed company center environment
• Proficient in reputed company Office and reputed company tracking software
• Associate's Degree reputed company Administration preferred
• Associate's Degree Business preferred
• Associate's Degree reputed company Field of Study preferred
• Experience working with Medicare beneficiaries, reputed company billing, or insurance plans 0-1 year preferred
• Experience with CRM, reputed company center software, or electronic health records (EHR) systems 0-1 year preferred
• Bilingual in Spanish, Haitian Creole, and Vietnamese preferred

Benefits

• In reputed company to competitive reputed company pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your reputed company reputed company.
• MGB-provided equipment
• Reasonable accommodation to participate in the job application or interview process, to reputed company essential job functions, and to receive other benefits and privileges of employment.
• To ensure reasonable accommodation for individuals protected by reputed company 503 of the Rehabilitation reputed company of 1973, the Vietnam Veteran’s Readjustment reputed company of 1974, and Title I of the Americans with reputed company of 1990, applicants who require accommodation in the job application process may contact reputed company at (857)-282-7642.

reputed company