Customer Service Representative

5 days ago


Elkins Park, United States Contemporary Staffing Inc Full time
Medicare Customer Service Representative

Contemporary Staffing Solutions is seeking a skilled Medicare Customer Service Representative to join our team. As a key member of our client's remote team, you will be responsible for addressing benefit, eligibility, and claims inquiries via telephone, internet, or written correspondence.

Key Responsibilities:
  • Respond to and resolve inquiries based on phone calls, emails, or letters from members, providers, and plan sponsors.
  • Direct and triage work to the appropriate departments or staff as necessary.
  • Accurately document interactions with members, providers, and others to track reasons for contact and identify trends.
  • Stay informed about and comply with corporate policies and procedures, as well as remain current on industry data.
  • Thoroughly review claims history to ensure accurate tracking of benefit maximums, coinsurance, and deductibles.
  • Utilize relevant system tools and resources to create quality letters and spreadsheets in response to inquiries.
  • Consistently provide world-class service to both internal and external customers.
Qualifications:
  • Prior experience working in call centers and customer service is required.
  • Excellent communication skills, both verbal and written.
  • Strong problem-solving abilities and attention to detail.
  • Ability to work in a fast-paced environment and manage multiple tasks efficiently.
  • Proficiency in using computer systems and software applications related to the role.
  • Knowledge of Medicare policies and regulations is preferred.
  • Health insurance/healthcare experience is a plus.

Contemporary Staffing Solutions has been a leading provider of contract, temporary, temporary-hire & direct hire solutions. We began as a staffing agency and evolved to a national provider of workforce management solutions with a niche recruitment focus in Accounting & Finance, Call Center & Office, Human Resources, Sales & Marketing, & Information Technology. To learn more about CSS, visit our website: www.ContemporaryStaffing.com.



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