Medicare Customer Service Team Lead

Job Summary

Providing exceptional customer service to Medicare beneficiaries, the full-time remote Medicare Customer Service Team Lead will handle inquiries, resolve concerns, and guide members on benefits, claims, billing, and enrollment.

Key responsibilities

• Respond to inbound calls, emails, and inquiries from Medicare members regarding coverage, eligibility, claims, and billing
• Assist members in understanding their Medicare plan benefits and access services within the healthcare network
• Document all member interactions accurately and collaborate with various departments to resolve complex member issues

Required qualifications

• High School Diploma or Equivalent required; Associate's Degree in Healthcare Administration, Business, or a related field preferred
• 1-2 years of experience in customer service, preferably in healthcare, insurance, or call center settings
• Understanding of Medicare benefits, claims processes, and CMS guidelines
• Experience working with Medicare beneficiaries or healthcare billing preferred
• Proficiency in Microsoft Office and call tracking software