You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.

Job Summary

Our client is seeking an Outbound Call Center Representative to conduct welcome calls to Medicare Advantage members. This role involves verifying Primary Care Provider (PCP) information, assisting with appointment scheduling and coordinating care needs, and performing proactive retention outreach. The successful candidate will accurately document member interactions, navigate multiple systems, and adhere to established call scripts and standards.

Key Responsibilities

• Conduct outbound welcome calls to Medicare Advantage members
• Verify and update Primary Care Provider (PCP) information
• Assist members with scheduling appointments and coordinating care needs
• Conduct proactive retention and member engagement outreach
• Accurately document member interactions, responses, and follow-up needs
• Navigate multiple systems while speaking with members
• Follow established call scripts, workflows, and documentation standards
• Meet defined productivity, quality, and attendance expectations

Experience

• 1+ year of health plan Member Services or health insurance call center experience
• Experience supporting Medicare, Medicare Advantage, or Medicaid members required
• Prior high-volume call center experience
• Prior Medicare Advantage health plan experience (Preferred)
• Previous outbound member engagement or welcome call experience (Preferred)
• Experience with care coordination or appointment scheduling (Preferred)
• Familiarity with PCP verification and provider information (Preferred)
• Experience with benefits, eligibility, claims, or health plan navigation (Preferred)
• Experience working remotely in a health plan or insurance call center environment (Preferred)

Skills

• Ability to navigate multiple systems and accurately document member interactions
• Ability to work independently in a fully remote environment

Additional Requirements

• Must have own PC with Windows operating system
• Must have an additional monitor or willing to get one
• Reliable high-speed internet connection with Ethernet capability required

Benefits

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
• Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
• 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
• Short Term Disability Insurance.
• Term Life Insurance Plan.

^*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

Medix Overview:

With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.

Any required state or Joint Commission training is compensated at the state or local minimum wage rate.

^*As a job position within our Insurance division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing medical and confidential records, verifying financial information, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients