Remote Customer Service Representative

Are you currently in the job market for a full time role? Medix is hiring Remote Member Service Representatives to work for a well known healthcare organization. See below for more information on the role!

Job Overview:

• Medicare Member Services Representative, you will play a crucial role in providing exceptional customer service to our Medicare members. You will address inquiries, resolve issues, and offer guidance on benefits, coverage, and services, ensuring a positive experience for our members.
• Pay: 18.00/hr - 19.00/hr
• Shift: Monday - Sunday (weekdays and weekends), 8-5 for training then 8-8 shift

Job Requirements:

• 2 years previous experience in customer service, preferably in a healthcare or insurance setting. Experience with Medicare plans and regulations is highly desirable.Must have CPR Certification
• Prior experience in a call center environment is preferred

Job Description:

• Recognize and understand Insurance Plan Types: Commercial, Individual Products, HIX, Government Plans (Medicaid/Medicare)
• Common insurance terminology and procedures
• Receive member inquires via inbound calls
• Make outbound calls to members, vendors and other departments
• Follow Call Flow process for member calls
• Understand and apply protocol for using language line. '
• Locate, interpret and quote benefit information including covered/excluded benefits, deductibles, MOOP, member out of pocket costs.
• Be familiar with different plan documents and how to quickly locate and quote from them.
• Other duties