Responsibilities

• Serve as the primary point of contact for Medicare beneficiaries and providers in Texas, answering questions via phone, email, and chat.
• Process enrollment applications, claim submissions, and appeals in compliance with CMS guidelines.
• Conduct eligibility verifications and coordinate benefits with insurance carriers.
• Maintain accurate records in the company's CRM system and ensure data confidentiality.
• Identify and resolve billing discrepancies, escalating complex issues to senior staff when necessary.
• Participate in ongoing training to stay current on Medicare policy changes and best practices.

Requirements

• High school diploma or GED required; Associate’s or Bachelor’s degree in Health Administration, Business, or related field preferred.
• Minimum 2 years of experience in Medicare administration, health insurance, or a related customer‑service role.
• Strong knowledge of Medicare Part A, B, C, and D regulations and CMS procedures.
• Excellent verbal and written communication skills; ability to convey complex information clearly.
• Proficiency with Microsoft Office Suite and experience using CRM/claims management software.
• Detail‑oriented, organized, and capable of handling a high volume of inquiries.
• Ability to work independently and as part of a team in a fast‑paced environment.

Benefits

• Competitive salary with performance‑based bonuses.
• Comprehensive health, dental, and vision insurance.
• 401(k) plan with company match.
• Paid time off (PTO), holidays, and sick leave.
• Tuition reimbursement and professional development allowances.
• Employee assistance program (EAP) and wellness initiatives.
• Opportunities for career advancement within C & S Medicare Services.

FAQ

Q: Where is the office located?
A: Our Texas office is situated in Dallas at 1234 Elm Street, Suite 500.

Q: Is remote work an option?
A: This role is primarily onsite to facilitate direct client interaction, but occasional remote work may be approved after a 90‑day probationary period.

Q: What is the typical onboarding timeline?
A: New hires undergo a 2‑week orientation covering Medicare policies, software systems, and customer‑service protocols, followed by a 30‑day mentorship period.

Q: How are overtime and shift differentials handled?
A: Overtime is compensated in accordance with Texas state law and company policy; shift differentials apply for evening or weekend work as needed.

Q: Who can I contact for more information?
A: Please email [email protected] with any additional questions.