Healthcare Customer Service Representative

Job Title:

Healthcare Customer Service Representative

Job Description

This role provides exceptional customer service to Medicare Advantage members by answering coverage and claims questions, accurately interpreting benefits and policy provisions, and resolving issues in a high-volume call center environment. You will research and triage member concerns, advocate for customers by clearly explaining their benefits, and ensure every interaction is handled with professionalism, empathy, and a strong focus on resolution.

Responsibilities

+ Provide excellent customer service to Medicare Advantage members through phone-based support.

+ Assist members with coverage, benefits, and claims-related questions in a clear and accurate manner.

+ Accurately interpret benefits and policy provisions across all products and plans.

+ Conduct research on member inquiries and perform timely follow-up to ensure prompt resolution.

+ Work efficiently in a high-volume call center while maintaining a professional, polite, and courteous demeanor.

+ Research, investigate, and triage customer issues of concern and dissatisfaction as assigned.

+ Advocate for members by explaining benefits in a detailed, clear, and courteous way so they are easily understood.

+ Document interactions and outcomes accurately while navigating multiple computer systems and tools.

+ Meet or exceed call center performance metrics and expectations related to quality, productivity, and customer satisfaction.

+ Collaborate with internal teams and departments as needed to resolve complex member issues.

Essential Skills

+ Proven customer service and customer support experience, preferably in a call center environment.

+ Demonstrated call center experience with an understanding of call center metrics and performance expectations.

+ Strong computer literacy and ability to navigate multiple systems and applications simultaneously.

+ Proficiency using Microsoft Windows and Microsoft Office applications.

+ Tech-savvy approach with the ability to quickly learn new systems and tools.

+ Excellent phone etiquette and a consistently professional demeanor.

+ Ability to resolve customer service issues effectively and efficiently.

+ Strong empathy and active listening skills, with a genuine focus on member needs.

+ Customer service-oriented mindset with a commitment to high-quality member experiences.

Additional

Skills & Qualifications

+ Prior healthcare or health insurance experience, especially with Medicare, is preferred.

+ Experience working in a high-volume call center or customer service department.

+ Comfort working with benefits, coverage, and claims-related information.

+ Ability to manage multiple tasks while maintaining accuracy and attention to detail.

+ Strong verbal communication skills with the ability to explain complex information in simple terms.

Why Work Here?

You will join a mission-driven organization focused on supporting Medicare members with care and respect. The role offers the potential for remote or hybrid work options once you transition to a permanent status, providing added flexibility and work-life balance. You will develop valuable skills in healthcare, customer service, and call center operations while working with modern systems and supportive colleagues. Opportunities for overtime during peak seasons can provide additional earning potential and experience.

Work Environment

This position is based in a customer service representative department that supports a Medicare healthcare provider. You will work primarily on-site in a call center environment, handling inbound calls from members and using multiple computer systems and Microsoft Office tools throughout the day. Standard hours are Monday through Friday, 8:00 a.m. to 8:00 p.m. Outside of open enrollment, you must be able to work any shift within this window.

During open enrollment (October through March), weekend work is required and overtime opportunities are available. The environment is professional and fast-paced, with a focus on phone-based support and adherence to call center performance standards.

Job Type & Location

This is a Contract to Hire position based out of Salem, OR.

Pay and Benefits

The pay range for this position is $19.00 - $19.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:  - Medical, dental & vision
- Critical Illness, Accident, and Hospital  - 401(k) Retirement Plan
- Pre-tax and Roth post-tax contributions available
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)  - Short and long-term disability
- Health Spending Account (HSA)  - Transportation benefits
- Employee Assistance Program
- Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully onsite position in Salem,OR.

Final date to receive applications

This…