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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in customer service within the healthcare sector, particularly in Medicare benefits, billing, and claims processing. Proficient in navigating multiple systems while ensuring compliance with regulatory guidelines and providing exceptional customer-focused service.
Highest-signal resume keywords
Customer Service ExperienceMedicare KnowledgeProblem-Solving SkillsMultitasking AbilityRegulatory Compliance
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medicare EnrollmentClaims ProcessingBilling AssistanceEligibility ReviewInvoicingComputer-Based TypingSystem NavigationCall ManagementOne-Call ResolutionWorkspace Monitoring
Soft Skills
Polite CommunicationActive ListeningCustomer-Focused Service
Tools & Technologies
Client SystemsHome InternetEthernet Connection
Certifications & Qualifications
High School DiplomaGEDCollege Degree
Industry Keywords
Healthcare BenefitsMedicare Part DMedicare AdvantageDual Special Need ProgramRegulatory Guidelines
About the role
Key responsibilities & impact- Answer incoming calls regarding healthcare benefits
- Assist members with Medicare enrollments, billing, claims, benefits, eligibility, invoicing, and related services
- Explain Medicare Part D, Part C Medicare Advantage, and Dual Special Need Program (DSNP) levels
- Listen to customers, answer questions, and make callbacks or follow-up calls as needed
- Resolve members’ issues and strive for one-call resolution
- Navigate members’ plan benefits and review client policies and procedures
- Use multiple client systems and provided resources while complying with regulatory guidelines
- Multitask and apply problem-solving skills
- Provide polite, customer-focused service
Requirements
What you’ll need- Minimum of 6 months customer service experience
- High school diploma, GED, or college degree
- Successfully complete customer service assessment and computer-based typing test
- Complete mandatory paid training with 100% attendance
- Successful completion of a background check
- Flexible availability between 7:45am–11:00pm EST Monday–Saturday and 7:45am–8:00pm EST Sunday
- Learn and use 15–20 systems
- Average 30–40 calls per day
- Home internet with at least 25 Mbps download and 10 Mbps upload speed
- Ability to hardwire the work computer to the home modem via Ethernet
- Satellite and wireless internet are not acceptable
- Quiet, distraction-free workspace with no unauthorized individuals, animals, devices, or writing utensils during working hours
- Role subject to continued workspace monitoring
Benefits
Comp & perks- Paid time off accrued after 180 days of employment
- Medical, dental, and vision benefits available on the 1st day of employment
- Paid mandatory training
- Equipment provided: computer, monitor, mouse, keyboard, headset, Ethernet cord, and power cables
- Potential bonus or incentive based on business need
- Health insurance coverage
- Voluntary dental and vision programs
- Life and disability insurance
- Retirement savings plan
- Paid holidays
- Paid time off (PTO) or vacation and/or sick time