Enter Job Description...



The Member Services Representative provides personalized, professional support to Medicare members by responding to inquiries related to enrollment, eligibility, benefits, billing, claims, and authorizations. This role requires strong customer service skills, attention to detail, and the ability to work in a fast-paced call center environment while maintaining regulatory compliance and confidentiality.

Essential Responsibilities

" Provide high-quality customer service via phone, electronic communication, or in person

" Respond to inquiries regarding enrollment, benefits, claims, billing, eligibility, and authorizations

" Accurately document all member interactions in the tracking system

" Meet or exceed departmental production and quality standards

" Maintain working knowledge of Medicare and ...