BCRC Customer Service Representative

Type of Requisition:

Pipeline

Clearance Level Must Currently Possess:

None

Clearance Level Must Be Able to Obtain:

None

Public Trust/Other Required:

NACI (T1)

Job Family:

SCA

Job Qualifications:

Skills:

Call Center, Customer Service, Medicare

Certifications:

None

Experience:

0 + years of related experience

US Citizenship Required:

No

Job Description:

The Benefits Coordination and Recovery of Call Center Customer Service Representative (CSR) supports Medicare beneficiaries, authorized representatives, employers, insurers, healthcare providers, and other stakeholders with questions related to other health insurance coverage and Medicare’s payment responsibility.

The CSR reviews and updates beneficiary insurance information, helps determine the appropriate order of payment, and explains Medicare Secondary Payer (MSP) requirements. This role requires accurate documentation, strong customer service skills, and strict compliance with Centers for Medicare (CMS), HIPAA, privacy, security, and program requirements.

JOB RESPONSIBILITIES:

• Handle inbound calls concerning Medicare Coordination of Benefits and Medicare Secondary Payer matters.

• Assist beneficiaries, authorized representatives, employers, insurers, providers, attorneys, and other approved callers.
• Collect, verify, research, and update other health insurance information, including Employer group health plan coverage and non-group health plan coverage.

• Apply approved Medicare Secondary Payer rules and procedures to determine whether Medicare may pay primary or secondary.

• Accurately enter and update insurance records, call details, and supporting information.

• Protect personally identifiable information and protected health information in accordance with HIPAA and applicable privacy and security requirements.

• Meet established standards for quality, attendance, and schedule adherence.

• Complete required training and remain current on Medicare COB and MSP program updates.

EDUCATION / EQUIVALENT TRAINING

• High School Graduate or equivalent required.
• Bachelor’s degree or equivalent preferred.

EXPERIENCE

• Six months in a call center, customer service, healthcare, health insurance or related environment.
• Must be able to type 20 WPM, 30 WPM preferred.

• Ability to explain insurance and Medicare information in clear, easy-to-understand language.
• Demonstrated empathy, professionalism, active listening, and de-escalation skills.
• Strong attention to detail and accurate data-entry abilities.
• Ability to navigate several applications while speaking with callers and documenting interactions.
• Ability to work independently and protect sensitive information in a remote setting in Oklahoma City, OK.

REMOTE WORK REQUIREMENTS

• Maintain a private, quiet, and secure workspace free from unauthorized individuals and interruptions.
• Maintain reliable high-speed internet that meets technical requirements.
• Use employer-provided equipment, authentication tools, and communication systems as directed.
• Prevent viewing, discussion, printing, recording, or storage of beneficiary information by unauthorized individuals.
• Comply with clean-desk, confidentiality, information-security, and remote-work requirements.
• Be available for assigned shifts, which may include evenings or overtime based on program needs.
• Must reside in Oklahoma City, OK.

** PLEASE NOTE: This position requires a Public Trust and involves performing work on a federal contract. Candidates must be able to pass a background check and drug test for all drugs prohibited under federal law.**

The above job description is not intended to be, nor should it be construed, exhaustive of all responsibilities, skills, efforts, or working conditions associated with this job.

General Dynamics Information Technology is an Equal Opportunity/Affirmative Action Employer (M/F/D/V).

#CSRforBCRC

#GDITFedHealthJobs

#GDITHealth

The likely hourly rate for this position is between $17.33 - $23.45. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range.

Scheduled Weekly Hours:

40

Travel Required:

None

Telecommuting Options:

Remote

Work Location:

USA OK Oklahoma City

Additional Work Locations:

Total Rewards at GDIT:

Our benefits package for all US-based employees includes a variety of medical plan options, some with Health Savings Accounts, dental plan options, a vision plan, and a 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match. To encourage work/life balance, GDIT offers employees full flex work weeks where possible and a variety of paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement and jury duty leave. To ensure our employees are able to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available. We regularly review our Total Rewards package to ensure our offerings are competitive and reflect what our employees have told us they value most.

Our Identity Verification Process:

As part of the hiring process, we will ask you to complete an identity verification process that leverages advanced biometrics and artificial intelligence to ensure authenticity and protect against identity fraud. You are expected to be on camera during virtual interviews. We reserve the right to take your picture to verify your identity and prevent fraud. By proceeding, you authorize the collection, processing, and use of your biometric data for identity verification and security purposes.
We are GDIT. A global technology and professional services company that delivers technology solutions and mission services to every major agency across the U.S. government, defense and intelligence community. Our 26,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across 50+ countries worldwide, offering leading mission-ready capabilities in AI, cloud, cyber and software development.
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Equal Opportunity Employer / Individuals with Disabilities / Protected Veterans