Our client, a leader in Healthcare, is seeking a contract Medicare Member Service Representative. This is a fully remote role following the initial 2-month onsite training in San Diego.
Must live within a 2-hour drive of San Diego
The Medicare Member Service Representative is responsible for account maintenance, billing, reconciliation, reporting, and customer service activities. This role supports membership, eligibility, billing accuracy, and internal operations through data management, customer interaction, and administrative support
contract duration: 18 months (2 months onsite in San Diego to train, then 16 months remote)
Requirements:
- High School Diploma
- 2+ years of Data Entry experience
- 2+ years of Customer Service with phone experience
- Strong proficiency in:
- Math
- Data entry
- TypingSpelling and grammar
- Proven customer service success
- Ability to analyze and solve quantitative and qualitative problems
- Clear and professional communication skills
- PC/Windows computer experience
- Ability to multitask and manage competing priorities
- Strong conflict resolution and decision-making abilities
- Team oriented mindset with flexibility to adapt to change
Preferred skills:
Minimum 2 years’ experience in accounting, finance, or related field
Daily Responsibilities:
- Identify, research, and reconcile billing and payment discrepancies
- Maintain accurate member data (enrollments, corrections, retroactivity, terminations)
- Support member and eligibility inquiries
- Ensure accurate and timelybilling
- Interact with purchaser benefit administrators regarding health plan policies and contracts
- Resolve membership, billing, and payment issues
- Assist sales, service representatives, and purchasercontacts
- Process payment discrepancies and delinquencies
- Identify, code, batch, scan, and index documents for imaging systems
- Provide office support (mail handling, filing, supplies, photocopying, facilities tasks)
- Collaborate with internal and external customers and vendors
- Track productivity and customer service quality metrics
- Participate in team projects and continuous improvement initiatives
- Assist with training as needed
- Facilitate communication across departments and lines of business
- Participate in purchaser performance evaluations and target setting
- Perform other duties as assigned