Medicare Member Services Representative

This is a fully remote position, open to applicants in United States.

📋 Description

• Respond to inbound calls from Peak Health Medicare Advantage members and providers, addressing inquiries from general information to intricate questions.

• Initiate outbound calls to members and providers for issue resolution or to collect additional information.

• Investigate and resolve member concerns and queries in partnership with management and colleagues on the Peak team.

⛳️ Requirements

• High School diploma or equivalent qualification.

• A minimum of one (1) year of experience in managing Medicare claims or related fields.

• Over three (3) years of experience in a dynamic call environment, including processing and/or customer service roles.

• At least two (2) years of experience with Medicare benefits.

• Two (2) years of familiarity with CMS guidelines.

• Experience in supporting Dual Eligible Special Needs Plans (D-SNP).

🏝️ Benefits

• Health insurance coverage.

• Paid time off.

• Opportunities for professional development.