Job Information
BroadPath Healthcare Solutions Medicare Member Service Representative in United States
Overview
BroadPath is hiring Medicare Member Service Representatives to join our remote, work-from-home team. Our Medicare Member Service Representatives play a crucial role in addressing inquiries, questions, and concerns from members and providers. This includes areas such as enrollment, claims, benefit interpretation, referrals, and authorizations. We are seeking motivated, self-driven individuals who thrive in a team environment, excel at problem-solving, take feedback constructively, and possess strong interpersonal skills. A positive attitude and a passion for delivering exceptional customer service are essential for success in this role.
Responsibilities
Verify member coverage, benefit types, eligibility dates, and claim payment/status
Document member complaints and file the appropriate appeals and grievances
Estimate out-of-pocket expenses for specific procedures or services, explaining copayments to members
Meet established performance goals in areas such as efficiency, call quality, customer satisfaction, first call resolution, adherence, and attendance
Ensure compliance with BroadPath, client, and HIPAA regulations
Qualifications
At least 1 year of experience with FACETS (TriZetto) system experience is required
Previous experience filing appeals
Must have at least 1 year of experience as an inbound call center Medicare Member Service Representative
Minimum typing speed of 40 words per minute; a typing test will be administered before an offer is made, with screening conducted by Operations during the second interview
Strong technical skills, including proficiency with Microsoft Windows, keyboarding, and systems aptitude
Advanced computer and telephone multitasking abilities, including effectively searching, navigating multiple windows and screens, and inputting information accurately while maintaining call flow
Excellent verbal and written communication skills
Preferred Qualifications:
- Dynamic System
Diversity Statement
At BroadPath, diversity is our strength. We embrace individuals from all backgrounds, experiences, and perspectives. We foster an inclusive environment where everyone feels valued and empowered. Join us and be part of a team that celebrates diversity and drives innovation!
Equal Employment Opportunity/Disability/Veterans
If you need accommodation due to a disability, please email us at HR@Broad-path.com. This information will be held in confidence and used only to determine an appropriate accommodation for the application process
BroadPath is an Equal Opportunity Employer. We do not discriminate against our applicants because of race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age, disability, veteran status, genetic information, or any other status protected by applicable law.
Compensation: BroadPath has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.