Medicare Member Services Representative - 171342

Job Description

Job Description

Medicare Member Services Representative

A-Line Staffing is now hiring a Member Services Representative in Akron, OH 44305. This position is with a respected healthcare organization and offers career growth potential. This is a full-time position, working 40 hours per week .

Medicare Member Services Representative Compensation

• $18.00 - $20.00 per hour
• Benefits are available to full-time employees after 90 days of employment.
• A 401(k) with company match is available to full-time employees after 1 year of service on eligible dates.

Medicare Member Services Representative Schedule

• Monday – Friday
• 8:00 AM – 5:00 PM

Medicare Member Services Representative Highlights

• Contract assignment with the potential for extension or permanent hire based on attendance, performance, and business needs.
• Standard daytime schedule with no weekends.

Medicare Member Services Representative Responsibilities

• Provide exceptional customer service to members by phone, email, and other communication channels regarding enrollment, benefits, eligibility, billing, claims, authorizations, and other health plan questions.
• Document member inquiries, requests, and complaints accurately in the tracking system and ensure appropriate follow-up.
• Meet departmental productivity and quality standards for call handling and documentation.
• Demonstrate empathy, professionalism, and a customer-first approach during every interaction.
• Research and resolve member concerns using sound judgment and problem-solving skills.
• Maintain knowledge of Medicare, health insurance plans, company policies, and regulatory requirements.
• Communicate effectively with members, providers, and internal departments to resolve issues efficiently.
• Protect confidential member health information and comply with HIPAA and all company policies.
• Manage multiple tasks while maintaining accuracy in a fast-paced call center environment.

Medicare Member Services Representative Requirements

• High School Diploma or GED required.
• Minimum of 2 years of customer service, call center, or administrative support experience.
• Medicare experience is required.
• Previous health insurance experience is strongly preferred.
• Strong verbal and written communication skills.
• Comfortable working in a Windows-based environment and navigating multiple computer systems simultaneously.
• Strong keyboarding and documentation skills.
• Ability to maintain a professional, empathetic, and service-oriented attitude.
• Ability to work independently while managing time effectively.
• Ability to maintain confidentiality of sensitive member information.
• Attendance is mandatory for the first 90 days.

Medicare Member Services Representative Preferred Qualifications

• College coursework or degree preferred.
• Previous experience in a health plan, insurance company, or Medicare Advantage environment.
• Experience with health insurance systems such as Amisys or similar platforms is a plus.
• Familiarity with VPN access, headsets, and remote customer service technology.

If this position sounds like a good fit, apply today to be considered for this excellent opportunity!