Customer Service Representative

Posted 2 Days Ago
Be an Early Applicant
Miramar, FL
Entry level
Healthtech
The Role
The Customer Service Representative will handle inbound and outbound calls related to Medicare Advantage plans, entering member information into the CRM system and ensuring adherence to policies while providing excellent customer service.
Summary Generated by Built In

NationsBenefits is recognized as one of the fastest-growing companies in America and a Healthcare Fintech provider of supplemental benefits, flex cards, and member engagement solutions. We partner with managed care organizations to provide innovative healthcare solutions that drive growth, improve outcomes, reduce costs, and bring value to their members.

Through our comprehensive suite of innovative supplemental benefits, fintech payment platforms, and member engagement solutions, we help health plans deliver high-quality benefits to their members that address the social determinants of health and improve member health outcomes and satisfaction.

Our compliance-focused infrastructure, proprietary technology systems, and premier service delivery model allow our health plan partners to deliver high-quality, value-based care to millions of members.

We offer a fulfilling work environment that attracts top talent and encourages all associates to contribute to delivering premier service to internal and external customers alike. Our goal is to transform the healthcare industry for the better! We provide career advancement opportunities from within the organization across multiple locations in the US, South America, and India.

Role: 

We’re looking for extremely motivated, high-energy, people to join our inbound/outbound Customer Service Team. The primary role you play is answering inbound and making outbound calls to and from members inquiring about Health Plan changes for 2025.

Responsibilities: 

  • Handle inbound calls from prospective members for Medicare Advantage plans by following approved script.
  • Make outbound calls to members
  • Enter member information into the MEP (CRM) and
  • Warm Transfer members to designated departments for further assistance
  • Obtain approved agreement (Scope of Appointment) from prospective members verbally that want a home appointment by following approved script and documenting it in CRM (MEP) system.
  • Follow all Federal, State, and Client’s policies and procedures. 

Skills & Qualifications: 

  • Customer Focus, technology savvy, Customer Service, Data Entry Skills, Listening, Phone Skills, Verbal Communication, Building Relationships, People Skills, Interpersonal Savvy, Problem Solving, Multi-tasking

Requirements: 

  • High School diploma or equivalent 
  • Must have some call center experience

NationsBenefits is an equal opportunity employer. 

    The Company
    Costa Mesa, CA
    115 Employees
    On-site Workplace
    Year Founded: 2015

    What We Do

    NationsBenefits® is a leading supplemental benefits company providing managed care organizations with innovative healthcare solutions helping to promote independence, health, and well-being for more than 20 million members across the U.S.

    When the company was founded in 2015 by Glenn Parker, M.D., we set out to disrupt the healthcare industry. In 2020, we rebranded to NationsBenefits to expand the company’s core offering and broaden the scope of our clinically focused services.

    Today, we surpass traditional benefit management programs by helping our health plan partners drive growth, improve outcomes, reduce costs, and delight members. Our best-in-class service model engages members in meaningful and measurable ways with technology-based solutions tailored to the unique needs of each population.

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