Demo

Member Service Representative

A.W. Companies, Inc.
Tennessee, IL Full Time
POSTED ON 2/6/2025
AVAILABLE BEFORE 4/5/2025

Remote Customer Service Agent – Health Insurance/Medicare Eligibility

Start Date: February/March
Compensation: $16/hr
Employment Type: Full-Time & Part-Time Opportunities
Location: Remote – Open to residents of TN, IA, and WI

About the Role:

This position begins with an approximately six-week backlog project. Upon successful completion, you may transition into training for a Customer Service Agent role, contingent upon your performance during the initial phase.

Backlog Project Responsibilities:

  • Identify and remove duplicate documentation.
  • Verify the accuracy and completeness of submitted documents.
  • Review voicemails and applications for processing.
  • Maintain a high level of attention to detail and accuracy.

Training Requirements:

  • Must attend full-time daytime training.
  • Weekend availability may be required.

Perks of the Position:

100% Remote: Work from home in TN, IA, or WI.
Equipment Provided: Necessary computer equipment is supplied.

Benefits: Health insurance, paid time off (PTO), dental and vision insurance.
Career Growth: Opportunities for advancement into Team Lead or Supervisor roles.
Supportive Work Environment: Join a fast-growing and innovative team where you can develop new skills.

Customer Service Agent Role Overview:

As a Customer Service Agent, you will assist customers with health insurance eligibility inquiries. This role is ideal for individuals who are empathetic, detail-oriented, and enjoy helping others. You will work in a structured environment under close supervision, where accuracy and consistency are key.

Your responsibilities will be introduced gradually, ensuring ample time for training and skill development.

Key Responsibilities:

  • Research and verify health benefit eligibility, including Medicare.
  • Assist customers with questions about benefits and primary care provider assignments.
  • Collaborate with providers and members to resolve health plan issues (e.g., system or eligibility problems).
  • Accurately document call details in the CRM system.
  • Maintain strict confidentiality regarding all member information.
  • Conduct follow-ups via outbound calls or emails as needed.
  • Take on additional responsibilities or coverage duties as assigned.

Qualifications:

  • Experience: 1 year in a healthcare or health insurance call center role (preferred).
  • Residency: Must currently reside in TN, IA, or WI.
  • Internet: Reliable high-speed internet with the ability to be hard-wired.
  • Education: High school diploma or equivalent required.
  • License/Certification: Valid driver's license in TN, IA, or WI (required).

Equal Employment Opportunity:

A.W. Companies, Inc. is committed to fostering a diverse and inclusive work environment. We are proud to be an Equal Opportunity Employer and ensure that all qualified applicants receive fair consideration without regard to race, color, religion, age, sex, national origin, disability, veteran status, sexual orientation, gender identity, or any other characteristic protected by law.

This policy applies to all aspects of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Job Details:

  • Job Type: Full-time
  • Pay: $16.00 per hour
  • Benefits:
  • Health, dental, and vision insurance
  • Paid time off (PTO)
  • Schedule:
  • Day and evening shifts
  • Monday to Friday
  • Weekends as needed

Work Location: Remote

Job Type: Full-time

Pay: $16.00 per hour

Benefits:

  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance

Schedule:

  • Day shift
  • Evening shift
  • Monday to Friday
  • Weekends as needed

Experience:

  • Call Center: 1 year (Required)
  • Medicare: 1 year (Required)

License/Certification:

  • Driver's License in TN, IA, or WI? (Required)

Location:

  • Tennessee (Required)

Work Location: Remote

Salary : $16

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