Member Service Representative

Medicare Member Services Representative

• Location:
  
  Akron, OH 44305 – 100% on‑site
• Payrate: $19/hr
• Availability:
  Full‑Time | Monday – Friday, 8am to 5pm

The Medicare Member Services Representative will serve as a primary point of contact for members, providing support regarding benefits, eligibility, claims, billing, authorizations, and enrollment inquiries. The ideal candidate has prior customer service or call center experience, strong communication skills, and the ability to thrive in a fast‑paced environment while maintaining professionalism, empathy, and accuracy.

• This position is a contract assignment with potential to hire permanently based on attendance, performance, and business needs.
• Benefits are available to full‑time employees after 90 days of employment and include health, optical, dental, life, and short‑term disability insurance.
• A 401(k) with a company match is available for full‑time employees with 1 year of service.

• Provide personalized support to members via phone and electronic communication.
• Assist with questions related to enrollment, benefits, eligibility, billing, claims, and authorizations.
• Accurately document member inquiries, concerns, and resolutions within internal systems.
• Route issues appropriately to ensure timely and effective resolution.
• Meet established productivity, quality, and service standards.
• Demonstrate empathy, professionalism, and a customer‑first approach during all interactions.
• Maintain knowledge of healthcare and insurance‑related policies, procedures, and regulations.
• Utilize sound judgment and problem‑solving skills to address member concerns.
• Protect confidential member and business information in compliance with company policies and regulations.
• Collaborate with internal teams to provide timely and effective member support.

• Education:
  
  High School Diploma or GED (verifiable). College coursework or additional education (preferred).
• Attendance:
  Commitment to mandatory attendance during the first 90 days.
• Minimum 2 years of call‑center (customer service), administrative support, or related experience.
• Experience in Medicare, Medicaid, health insurance, or health‑care customer service.
• Strong verbal and written communication skills.
• Excellent organizational and time‑management abilities.
• Proficiency with Windows‑based computer systems and standard office software.
• Ability to multitask and work efficiently in a fast‑paced environment.
• Strong keyboarding and computer navigation skills.
• Requires strong attention to detail and the ability to manage multiple priorities.
• Ability to maintain confidentiality and professionalism at all times.
• Preferred:
  Knowledge of health‑care regulations, insurance processes, and member services operations.

• Fast‑paced customer service environment – frequent telephone communication with members.
• Prolonged periods of sitting and computer use.
• Occasional lifting of up to 20 pounds.