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Medicare Customer Service Representative Jobs in Arkansas

Medicare Member Service Representatives
By BroadPath At United States
Minimum Typing Requirement of 40 wpm – BP will administer a typing test before making an offer. https://www.typingtest.com/
Responsible for verifying member coverages, benefit types, eligibility dates, and claim payment/statuses.
Minimum of 1 year’s previous experience with FACETS required.
MUST have a minimum of one year experience as an inbound call center Medicare Member Service Representative.
Must have strong technical skills (Microsoft Windows, keyboarding skills, strong systems aptitude, etc.)
Requires excellent verbal and written communication skills
Customer Service Representative, Medicare Pharmacy
By Molina Healthcare At United States
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Effectively communicates plan benefit information, including but not limited to, formulary information, copay amounts, pharmacy location services and prior authorization outcomes.
3-5 years; healthcare industry experience preferred
Handles and records inbound pharmacy calls from members, providers, and pharmacies to meet departmental, State regulations, NCQA guidelines, and CMS standards.
Provides coordination and processing of pharmacy prior authorization requests and/or appeals.
Explains Point of Sale claims adjudication, state, NCQA, and CMS policy/guidelines, and any other necessary information to providers, members, and pharmacies.

Are you looking for an exciting opportunity to use your customer service skills in a rewarding role? We are looking for a Medicare Customer Service Representative to join our team! You will be responsible for providing excellent customer service to our Medicare members, answering their questions, and resolving any issues they may have. If you are passionate about helping others and have a strong customer service background, this could be the perfect job for you!

What is Medicare Customer Service Representative Job Skills Required?

• Excellent customer service skills
• Knowledge of Medicare regulations and policies
• Ability to communicate effectively with customers
• Ability to handle difficult customer situations
• Ability to multi-task and prioritize
• Computer literacy
• Knowledge of medical terminology

What is Medicare Customer Service Representative Job Qualifications?

• High school diploma or equivalent
• Previous customer service experience
• Ability to pass a background check
• Ability to pass a drug test

What is Medicare Customer Service Representative Job Knowledge?

• Knowledge of Medicare regulations and policies
• Knowledge of medical terminology
• Knowledge of customer service principles and practices
• Knowledge of computer systems and software

What is Medicare Customer Service Representative Job Experience?

• Previous customer service experience
• Previous experience in a healthcare setting

What is Medicare Customer Service Representative Job Responsibilities?

• Respond to customer inquiries via phone, email, or in person
• Provide accurate information about Medicare policies and regulations
• Assist customers with enrollment and claims processing
• Process payments and refunds
• Resolve customer complaints in a timely manner
• Maintain customer records and update information as needed
• Follow up with customers to ensure satisfaction