Job title: Member Service Representative

Job Type: FULLY REMOTE (100% remote).

PAY RATE: $20.00 – $22.00/HR.

Required Experience:

· Understanding of Center for Medicare/Medicaid Services (CMS) guidelines for Medicare Part D and C.

· Enrollment processes or previous work experience in regulatory environment.

· Understanding of basic healthcare terminology and definitions, such as HIPAA.

· Basic to intermediate skills in MS Excel, MS Word and Outlook are a plus; ability to create and update Excel spreadsheets.

· Microsoft Office applications.

Job Duties:

· Front line customer service inbound call center representative (telephonic-no sales) Assisting Members, Prospective Members, and Providers with questions regarding Benefits, Pharmacy Services, provider listings, etc. in a high volume, fast paced, Call Center environment.

· Responsible for increasing Member and Provider satisfaction, retention, and growth by efficiently delivering competitive services to members and providers through a fully integrated organization staffed by knowledgeable, customer-focused professionals supported by exemplary technologies and processes.

· Customer Service Representative is the face of organization and impacts members' service experience by manner of how customer service inquiries and problems via telephone, internet or written correspondence are handled.

· Customer inquiries are of a basic and at times complex nature.

· Engages, consults, and educates members based upon the member’s unique needs, preferences and understanding of Aetna plans, tools, and resources to help guide the members along a clear path to care.

Job Types: Full-time, Contract

Pay: $20.00 - $22.00 per hour

Expected hours: 40 per week

Benefits:

• Health insurance
• Work from home

Weekly day range:

• Monday to Friday

Work setting:

• Remote

Location:

• Oklahoma (Required)

Work Location: Remote