Member Support Representative

About the role

Provides comprehensive support to Fidelis and Wellcare members by addressing inquiries, conducting outreach, and assisting with enrollment in various health plans, including Medicaid, Medicare, and other Fidelis Care products. This role requires in-depth product knowledge, consultative selling, and the ability to facilitate access to services to ensure member satisfaction and retention.

Responsibilities

• Identifies prospective enrollees and determines eligibility for participation in the Advantage Medicare product
• Assists members in accessing health care, transportation needs and other services or issues as they occur and pertain to members
• Answers application and service-related questions about Fidelis and Wellcare programs, helping to maintain and attract membership
• Researches, analyzes, and documents member inquiries regarding program eligibility