Dec 19, 2025

Experienced Medicare Member Engagement Customer Service Representative – Remote Opportunity in Pacific Standard Time Zone for Delivering Exceptional Support and Driving Member Satisfaction

Introduction to blithequark

At blithequark, we are dedicated to providing high-quality healthcare services that meet the unique needs of our members. As a leader in the healthcare industry, we strive to create a positive and supportive environment that fosters growth, innovation, and exceptional customer service. Our Medicare Member Engagement team plays a vital role in ensuring that our members receive the best possible care and support, and we are now seeking an experienced and compassionate Customer Service Representative to join our team.

Job Overview

As a Medicare Member Engagement Customer Service Representative at blithequark, you will be responsible for making outbound welcome calls to our members, handling other outbound call projects, and providing exceptional customer service to ensure that our members have a positive experience with our organization. This is a remote opportunity, and you will work from the comfort of your own home in the Pacific Standard Time Zone, with hours of operation from 8am to 4:30pm.

Key Responsibilities

Conduct direct outreach to new Medicare members to provide personal assistance with their new MAPD, DSNP, and MMP plans, serving as an advocate to ensure members are well-informed about plan benefits, provider options, and how to use their new plan benefits.

Act as the member's navigator during the onboarding process, addressing any plan questions and anticipating any issues that may arise, and determining the nature of the member's needs and interests.

Inform members of their plan resources and benefits, with a focus on the member's area of interest/needs, and follow up with members to ensure needs are met and members are having a positive plan experience.

Develop relationships with members to be the go-to person for any future issues or questions, and log all contacts in a database.

Participate in Member engagement work groups as needed to ensure Medicare member needs are being anticipated and addressed, and participate in regular member benefits training with the health plan, including the member advocate/engagement role.

Qualifications and Requirements

To be successful in this role, you must have a high school diploma, with an Associate's or Bachelor's Degree in Social Work, Human Services, or a related field preferred. You should have at least 2 years of experience in customer service, consumer advocacy, and/or healthcare systems, with experience conducting intake, interviews, and/or research of consumer or provider issues.

Essential Skills and Competencies

Excellent written and verbal communication skills to collaborate internally and externally with members, providers, team members, and managers.

Basic understanding of managed healthcare systems and Medicare, with experience with Medicare and Medicare managed plans such as MAPD, DSNP, and MMP preferred.

Computer savvy, with experience using Genesys and/or Sales Force a plus.

Bilingual in any of the following languages also a plus - Cantonese, Mandarin, or Korean.

Top-notch communication skills, both written and verbal, with the ability to work in a fast-paced environment and prioritize multiple tasks and responsibilities.

Career Growth and Development Opportunities

At blithequark, we are committed to the growth and development of our employees, and we offer a range of training and development opportunities to help you advance your career. As a Medicare Member Engagement Customer Service Representative, you will have the opportunity to work with a talented team of professionals who are passionate about delivering exceptional customer service and driving member satisfaction.

Work Environment and Company Culture

Our company culture is built on a foundation of respect, empathy, and compassion, and we strive to create a positive and supportive work environment that fosters growth, innovation, and exceptional customer service. As a remote employee, you will be part of a virtual team that is connected by a shared passion for delivering exceptional customer service and driving member satisfaction.

Compensation, Perks, and Benefits

blithequark offers a competitive benefits and compensation package, including a range of perks and benefits that are designed to support your physical, emotional, and financial well-being. As a valued member of our team, you will have access to a range of benefits, including medical, dental, and vision insurance, 401(k) matching, and paid time off.

Conclusion

If you are a motivated and compassionate individual who is passionate about delivering exceptional customer service and driving member satisfaction, we encourage you to apply for this exciting opportunity to join our Medicare Member Engagement team at blithequark. As a remote Customer Service Representative, you will have the opportunity to work from the comfort of your own home, while making a positive impact on the lives of our members. Don't miss out on this opportunity to join a talented team of professionals who are dedicated to delivering exceptional customer service and driving member satisfaction. Apply today to take the first step towards a rewarding and challenging career with blithequark!

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