Medicare Member Services Representative Salary in United States

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Average Salary for Medicare Member Services Representative in United States

The average salary of a(n) Medicare Member Services Representative in United States is $40,981.

The average hourly rate of a(n) Medicare Member Services Representative in United States is $19.70.

The average bonus of a(n) Medicare Member Services Representative in United States is $824.00.

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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Results for Medicare Member Services Representative in United States

Enrollment Support Services Representative - Los Angeles, CA

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Medicare Training Certification. The Enrollment Support Services (ESS) Representative is responsible for facilitating targeted enrollment activities and...

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Supplemental Ambulatory Services Representative II - Houston, TX

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Ambulatory Service Representative II. Knowledge of customer service principles and practices. 1+ years of direct face to face customer service experience....

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Medical Billing Specialist - Gainesville, FL

Alachua County, FL

Considerable knowledge of Medicare and Medicaid guidelines. Provides customer service to patients, hospital representatives, citizens, attorneys, county...

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Membership Representative (Starts August 1!) - Linthicum Heights, MD

Amtec, Inc.

Medicaid, Medicare, Commercial and Healthcare Exchange:. Notifying members of physician changes and terminations....

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Member Services Representative - Boston, MA

Commonwealth Care Alliance

To provide accurate, prompt, and courteous service in response to written and telephonic inquiries, from Members, Members’ Care-Givers, Primary or...

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