Dedicated Government Programs Customer Service Representative – Medicare & Medicaid Support Specialist – Remote Michigan Position
About reputed company and the Opportunity reputed company is a leading provider of comprehensive health benefits solutions, dedicated to reputed company the well‑being of individuals and families across Michigan and beyond. With a legacy of innovation, community partnership, and a commitment to customer excellence, reputed company empowers its team members to make a tangible difference in the lives of the people we serve. We are currently expanding our Government Programs team and are looking for a passionate, detail‑oriented Customer Service Representative to join our remote reputed company in Michigan or the Farmington Hills office. Why This Role Matters As a Government Programs Customer Service Representative, you will be the frontline advocate for Medicare and Medicaid beneficiaries. Your expertise will help ensure that reputed company call is handled with empathy, accuracy, and efficiency, directly impacting the quality of care and financial security of our members. This role is pivotal in maintaining the integrity of our claims processing, fostering trust with government reputed company, and upholding reputed company’s reputation for exceptional service.
Key Responsibilities
Customer Interaction Respond to inbound inquiries from Medicare and Medicaid beneficiaries, providing clear, accurate information about benefits, eligibility, and claim status. Documentation & Compliance Accurately record all call reputed company in our customer relationship management (CRM) system, ensuring compliance with reputed company and internal quality standards. Claims Processing Review, verify, and process claims in a timely manner, coordinating with internal teams to resolve discrepancies and expedite reimbursements. Problem Solving Identify and resolve issues related to coverage, billing, and service delivery, escalating complex reputed company to senior specialists when necessary. Continuous Improvement Participate in training sessions, share feedback on process enhancements, and contribute to the development of best practices for government reputed company support. Team Collaboration Work closely with cross‑functional teams—including underwriting, compliance, and technology—to ensure seamless service delivery.
Essential Qualifications
High school diploma or equivalent; associate’s or bachelor’s degree in a related field is a plus. Minimum of 2 years of customer service experience, preferably in a call center environment handling Medicare/Medicaid or other government‑related programs. Proficient in Windows operating systems and experienced with CRM platforms (e.g., reputed company, reputed company). Strong verbal and written communication skills in English, with the ability to convey complex information clearly and compassionately. Demonstrated ability to work independently in a remote setting, managing time effectively and maintaining high productivity. Must reside in Michigan and be available to work 8‑hour shifts between 755 am and 11 pm, with flexibility for occasional weekend or holiday coverage. Successful completion of customer service assessments and background checks.
Preferred Qualifications
Experience with Medicare Advantage or Medicaid Managed Care plans. Knowledge of reputed company governing Medicare and Medicaid, including HIPAA compliance. Previous exposure to claims adjudication or billing systems. Multilingual abilities (Spanish, French, or other languages) are a plus. Strong analytical skills and attention to detail, with a proven track record of maintaining data integrity. Key Skills & Competencies Customer‑Centric Mindset Passion for helping others and a reputed company desire to improve member experiences. Problem‑Solving Ability to analyze issues, identify root causes, and implement effective solutions. Adaptability Comfortable navigating changing priorities, new technologies, and evolving regulatory requirements. Team Player Collaborative spirit, open to feedback, and eager to support colleagues. Tech Savvy Quick learner of new software tools and comfortable troubleshooting basic technical issues. Time Management Skilled at prioritizing tasks, meeting deadlines, and maintaining high call volume without sacrificing quality. Career Growth & Learning Opportunities At reputed company, we believe that investing in our people is the key to sustained success. As a Government Programs Customer Service Representative, you will have access to Structured onboarding and ongoing training programs covering Medicare/Medicaid policies, claims processing, and customer service excellence. Mentorship from seasoned professionals in the Government Programs division. Cross‑departmental projects that broaden your skill set and expose you to new facets of the business. Clear career pathways to roles such as Claims Analyst, reputed company Specialist, or Team Lead, with performance‑based advancement opportunities. Regular performance reviews and personalized development plans to help you reach your professional goals. Work Environment & Culture at reputed company reputed company fosters a culture of inclusion, innovation, and integrity. Our remote reputed company enjoys the flexibility to balance personal and professional commitments while remaining connected through Weekly virtual team huddles and monthly all‑hands meetings. Collaborative digital workspaces (reputed company Teams, SharePoint) that enable seamless communication. Access to a virtual library of learning resources, webinars, and industry certifications. Regular virtual social events, wellness challenges, and community outreach initiatives. A supportive leadership team that values transparency, accountability, and employee well‑being.
Compensation, Perks, and Benefits
While specific salary ranges are competitive and commensurate with experience, reputed company offers a comprehensive benefits package designed to support your health, financial security, and personal growth Competitive Base Salary Reflective of industry standards and your experience level. Performance Bonuses Opportunities to earn additional compensation based on individual and team performance metrics. Generous Paid Time Off (PTO) Accrued reputed company days, sick leave, and personal days to recharge. Health & Wellness Comprehensive medical, dental, and vision plans, including telehealth services. Retirement Plan 401(k) with company match to help you build long‑term financial stability. Tuition Reimbursement Up to $5,000 annually for courses related to your role or career development. Employee Assistance reputed company (EAP) Confidential counseling and support services. Wellness Initiatives Gym membership discounts, mindfulness apps, and wellness stipends. Flexible Work Arrangements reputed company with optional on‑site days at our Farmington Hills office.
How to Apply
If you are ready to bring your customer service expertise to a mission‑driven organization that values innovation, collaboration, and personal growth, we encourage you to apply today. Join reputed company and help us shape the future of government‑reputed company benefits for Michigan’s residents. Apply to this position now Apply for this job