Customer Service Rep (Call Center- REMOTE)

U.S. citizenship is required for this position due to Department of Defense restrictions

We are seeking a talented Customer Service Rep to join our team! The successful candidate will play a critical role in providing call center telephone support, as well as responses to written inquiries submitted by, military members, retirees, and dependents eligible for both TRICARE and Medicare benefits (TRICARE Medicare Eligible Program - TMEP). In addition, this role is responsible for assisting with claims and billing inquiries from hospitals and clinics. Inquiries can include questions about claims, benefits, and eligibility. Success is accomplished by navigating multiple systems to research and resolve complex inquiries with a clear, accurate, and easy to understand response.

In this REMOTE role all necessary EQUIPMENT will be PROVIDED.

Additional Information

Start Date: 7/29/25 OR 8/12/25

Starting Pay: $19.00/hour plus a 2nd Shift differential of $.75/hour.

Training Schedule: First 8 weeks from 8:25am-5:00pm CST Monday-Friday.

Scheduled Shift: Once training is completed, this will be a 2nd shift role - 11:25am ~ 7:00pm Central

Work Location

We are open to remote work in the following approved states:

Arizona, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, North Dakota, Ohio, South Carolina, South Dakota, Texas, Virginia, Wisconsin

A Day in the Life of a Customer Service Rep Specialist:

Serving as the first point of contact for members and medical providers, answering inquiries regarding benefits, eligibility, claims, billing, and healthcare services.

Respond to an average of 80 or more inbound phone calls and written inquiries per day from retired military beneficiaries and medical providers.

Receive calls and written inquiries from retired military beneficiaries regarding their claim questions and status.

Process correspondence by reviewing detailed information across multiple systems to accurately resolve complex TRICARE related inquiries while delivering clear, thorough, and easy to understand responses.

You will use our various systems to find the, sometimes-complex, information and be expected to patiently explain it in a way that is easy-to-understand.

Quickly and efficiently respond to billing agents in hospitals and clinics regarding claim payment statuses, billing inquiries, and correcting billing errors as needed.

Maintain a high level of accuracy in handling confidential information and records.

Provide exceptional customer service to ensure a positive experience for each caller.

How do I know this opportunity is right for me? If you:

Have strong communication and interpersonal skills, including the ability to effectively explain complex information.

Have exceptional customer service skills and the ability to handle difficult situations with empathy and patience.

Can ensure adherence to regulatory guidelines (i.e., HIPAA, CMS) when providing information and service to members and providers.

Can multitask, prioritize, and manage time effectively in a fast-paced environment.

Can maintain a high level of accuracy and attention to detail.

Have proficient computer skills and willingness to learn new systems and processes.

What will I gain from this role?

We offer a dynamic and challenging work environment, competitive salary and benefits package, and opportunities for growth and advancement. Don't miss this chance to make a positive impact on the lives of retired military beneficiaries and join our team as a Customer Service Rep Specialist!

Minimum Qualifications

US. citizenship is required for this position due to Department of Defense restrictions.

High School Diploma or GED or equivalent experience.

1 or more years of customer service experience working