Medicare Member Services Representative Salary in Sacramento, California

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Average Salary for Medicare Member Services Representative in Sacramento, California

The average salary of a(n) Medicare Member Services Representative in Sacramento, California is $44,431.

The average hourly rate of a(n) Medicare Member Services Representative in Sacramento, California is $21.36.

The average bonus of a(n) Medicare Member Services Representative in Sacramento, California is $893.00.

Job Description:

Communicates effectively with providers and Medicare members of the health plan, answering inquiries about Medicare member eligibility, plan benefits, and claims status. Provides customer service to Medicare plan members by answering benefit questions, resolving issues, and educating callers. Typically has more than two years of experience in customer service. Receives inquiries from Medicare members via the Internet, telephone, and in writing regarding covered benefits. Provides assistance in resolving problems such as finding physicians, arranging transportation, ordering identification cards, filing appeals, resolving billing errors, and accessing payment. Clarifies benefit changes or exclusions. Maintains records of all contacts and results. Provides claim status, payment amounts, and/or denials for processed claims. Reports successive claims payment issues or member issues to management for appropriate intervention. Assists providers with standard electronic claims submission questions and works with providers to resolve problems in filing electronic claims. Mails out provider directories and new member packets. Assists providers and members in accessing information via the organization's online services directory. Less

Communicates effectively with providers and Medicare members of the health plan, answering inquiries about Medicare member eligibility, plan benefits, and claims status. Provides customer service to Medicare plan members by answering benefit questions, resolving issues, and educating callers. Typically has... More

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