Job Description

**Overview** BroadPath is seeking a dedicated and knowledgeable **Member Services Representative** to support Medicare Advantage members. This role focuses on delivering a first-in-class customer experience through inbound call handling, member advocacy, and collaborative problem-solving. The ideal candidate will be passionate about improving processes, ensuring compliance, and providing accurate and compassionate support to members. **Responsibilities** + Answer inbound calls for Medicare Advantage members to support line of business objectives product and benefit administration process improvement efficiency and a first in class customer experience + Participate in member outreach campaigns as directed + Work as a team player on cross functional process improvement teams within the organization + Maintain and foster an environment that promotes compliance with all relevant federal state and local laws rules and regulations applicable to State and Federal contracts for Medicare Advantage product offerings + Cross train on other products or lines of business + Act as a member advocate to internal departments regarding issues while understanding root causes and applicable regulatory requirements + Read interpret and identify necessary next steps related to complex member questions or issues + Provide accurate and detailed information regarding plan benefits coverage and eligibility criteria + Address and resolve inquiries concerns and issues raised by plan members ensuring high customer satisfaction + Maintain a comprehensive understanding of Medicare Advantage plans network providers prescription drug coverage and related services + Document and update member records in the call center database ensuring accuracy and completeness of information + Collaborate with team members supervisors team leads and other departments to resolve or escalate complex member issues + Meet or exceed performance metrics including call quality average handling time first call resolution and customer satisfaction scores + Continuously improve knowledge and stay updated on Medicare Advantage plans policies and procedures through training programs and resources + Identify opportunities for process improvement and contribute to the development of best practices within the call center **Qualifications** + 2 years previous Medicare experience required + Medical and Healthcare terminology knowledge + Exceptional customer service and communication skills + Strong computer/data entry skills + High school diploma or equivalent + Healthcare knowledge and/or experience with call center experience + Proficiency in Microsoft Office and industry-related software programs + Ability to work with peers in a team effort and independently resolve issues + Demonstrated ability to manage multiple priorities and deadlines + Capability to efficiently complete tasks in a fast-paced environment **Diversity Statement** _At BroadPath, diversity is our strength. We embrace individuals from all backgrounds, experiences, and perspectives. We foster an inclusive environment where everyone feels valued and empowered. Join us and be part of a team that celebrates diversity and drives innovation!_ _Equal Employment Opportunity/Disability/Veterans_ _If you need accommodation due to a disability, please email us at HR@Broad-path.com. This information will be held in confidence and used only to determine an appropriate accommodation for the application process_ _BroadPath is an Equal Opportunity Employer. We do not discriminate against our applicants because of race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age, disability, veteran status, genetic information, or any other status protected by applicable law._ **_Compensation:_** _BroadPath has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location._

Job Tags

Work at office, Local area, Weekend work,

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