Ohio Licensed Member Service Specialist

Job Summary

A company is looking for a Member Service Specialist remote.

Key Responsibilities

• Respond to consumer inquiries regarding product plan benefits and services in compliance with regulations
• Engage with consumers to achieve service performance goals while ensuring compliance with Federal and State requirements
• Document and accurately code all inquiries and generate responses as needed

Required Qualifications

• Minimum of high school education; some college level studies preferred
• Experience in customer service with knowledge of Medicare and CMS regulations desired
• Knowledge of managed care benefit plans and products
• PC proficiency including Microsoft Office and data entry
• Medical terminology and claims processing knowledge is a plus