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Beneficiary Services Representative Jobs (NOW HIRING)

Military Treatment Facilities under DHA

Serve as the Chief, Beneficiary Services and primary Point of Contact (POC) for matters pertaining ... As Contracting Officer's Technical Representative, prepare and distributes monthly briefing slides ...

New

Department of Defense

Serve as the Chief, Beneficiary Services and primary Point of Contact (POC) for matters pertaining ... As Contracting Officer's Technical Representative, prepare and distributes monthly briefing slides ...

New

US Department of War

Duties Serve as the Chief, Beneficiary Services and primary Point of Contact for matters pertaining ... As Contracting Officer's Technical Representative, prepare and distributes monthly briefing slides ...

New

OneDigital

Member Services Representative

Chicago, IL · On-site

Membership Services Representative The Membership Services Representative acts as a knowledgeable ... enhance Beneficiary/Client satisfaction. * Proactively follow up with inquiries. * Identify ...

Tidelands Health

$15.25 - $19.50/hr

Patient Services Representative III Are you passionate about quality and committed to excellence ... Medicare Secondary Payer Questionnaire, Advance Beneficiary Notice (ABN waiver), HIPAA Privacy ...

EVERENCE SERVICES,

Client Services Representative

Ephrata, PA · On-site

$15.75 - $21.50/hr

... beneficiary updates, withdrawals, etc.). * Process and maintain various communication approvals ... Provide backup for other Client Services Representatives as needed. * Assist with other projects as ...

EVERENCE SERVICES,

Client Services Representative

Ephrata, PA · On-site

$15.75 - $21.50/hr

... beneficiary updates, withdrawals, etc.). * Process and maintain various communication approvals ... Provide backup for other Client Services Representatives as needed. * Assist with other projects as ...

Tidelands Health

Patient Services Representative

Conway, SC · On-site

$15 - $19/hr

Patient Services Representative II Are you passionate about quality and committed to excellence ... Medicare Secondary Payer Questionnaire, Advance Beneficiary Notice (ABN waiver), HIPAA Privacy ...

New

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Beneficiary Services Representative information

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How much do beneficiary services representative jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for beneficiary services representative in the United States is $18.80, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $20.91 per hour, depending on experience, location, and employer.

How does a beneficiary services representative typically collaborate with other departments to resolve complex client issues?

Beneficiary Services Representatives frequently work alongside claims, billing, and customer support teams to address and resolve multifaceted client concerns. When a beneficiary’s inquiry involves multiple aspects—such as eligibility, payment status, or plan coverage—representatives coordinate with specialists from other departments to gather accurate information and provide comprehensive solutions. This collaboration ensures that beneficiaries receive timely and accurate assistance, and it also fosters a supportive work environment where knowledge is shared to improve service quality.

What are the key skills and qualifications needed to thrive as a beneficiary services representative?

To thrive as a Beneficiary Services Representative, you need strong customer service skills, attention to detail, and a high school diploma or equivalent, with some employers preferring healthcare or insurance experience. Familiarity with call center software, CRM systems, and basic healthcare or insurance terminology is often required. Excellent communication, problem-solving ability, and patience are crucial soft skills for handling inquiries and resolving beneficiary concerns. These competencies ensure clear, accurate assistance to beneficiaries, improving service quality and client satisfaction.

What is a beneficiary services representative?

Beneficiary Services Representatives are professionals who assist clients or beneficiaries with questions and concerns about their benefits, insurance, or healthcare plans. They provide information, resolve issues, and help people understand their coverage and eligibility. These representatives often work in call centers, insurance companies, or government agencies, serving as a primary point of contact for beneficiaries. Their role is essential in ensuring that beneficiaries receive accurate information and support related to their plans.

What is the difference between Beneficiary Services Representative vs Claims Specialist?

AspectBeneficiary Services RepresentativeClaims Specialist
Required CredentialsHigh school diploma or equivalent; some roles may require insurance or healthcare certificationsHigh school diploma; certifications like CPC or insurance licenses may be preferred
Work EnvironmentCustomer service centers, healthcare offices, insurance companiesClaims processing departments, insurance companies, healthcare organizations
Employer & Industry UsageHealth insurance providers, government programs, healthcare organizationsInsurance companies, third-party administrators, healthcare payers
Common Search & ComparisonCustomer support, beneficiary assistance, healthcare benefitsClaims processing, insurance claims, reimbursement

Beneficiary Services Representatives primarily assist beneficiaries with healthcare benefits and inquiries, focusing on customer service. Claims Specialists handle the processing and review of insurance claims, ensuring proper reimbursement. While both roles work within healthcare and insurance industries, their core functions differ: one emphasizes beneficiary support, the other claims processing.

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What job categories do people searching Beneficiary Services Representative jobs look for?

The top searched job categories for Beneficiary Services Representative jobs are:

Beneficiary Services Representative jobs near you
Infographic showing various Beneficiary Services Representative job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 16% Part Time, 1% Temporary, and 4% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $39,098 per year, or $18.8 per hour.

Supervisory Health System Specialist

Military Treatment Facilities under DHA

On-site

Other

Posted 2 days ago

New

Defense Health Agency rating

8.1

Company rating: 8.1 out of 10

Based on 84 frontline employees who took The Breakroom Quiz

69th of 887 rated healthcare providers

Job description

Summary
About the Position:
This position supervises the Beneficiary Counseling and Assistance Coordinators (BCAC) who are responsible for assisting beneficiaries with health plan related concerns. The incumbent of this position needs to be customer services oriented.
This is a Direct Hire Solicitation
Learn more about this agency
Duties
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  • Serve as the Chief, Beneficiary Services and primary Point of Contact (POC) for matters pertaining to the TRICARE program.
  • Plan and develop comprehensive management programs and long- and short-range objectives, designed to maximize health care cost containment, enhance level of quality care, and improve access to health care.
  • Provide expert assistance, guidance, and direction in validating and developing the Command's Annual Business Plan for submission to Defense Health Agency (DHA).
  • Based on studies conducted, makes recommendations regarding policies and procedures which should be developed and implemented to provide cost effective, accessible, quality health care under the TRICARE program.
  • As Contracting Officer's Technical Representative, prepare and distributes monthly briefing slides, monitor and update current table data, complete and submit semi-annual Commander's Survey with input regarding Managed Care Support Contractor.
  • Supervise and provide performance ratings for personnel providing health benefits support and is responsible for preparation of position descriptions, recommendations for awards, counseling, advertisement, and selections to fill vacant positions.
Requirements
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Conditions of employment
  • This position requires the incumbent be able to obtain and maintain a determination of eligibility for a Secret security clearance or access for the duration of employment. A background investigation and credit check are required.
  • One-year supervisory probationary period required. A one-year probationary period is required if the selectee has not previously met this requirement.
Qualifications
Who May Apply: US Citizens
In order to qualify, you must meet the experience requirements described below. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document.
Specialized Experience: One year of specialized experience which includes analyzing beneficiary services health care data (i.e. enrollment, TRICARE, access to care, referral management, etc.), developing administrative or clinical management projects or plans for improved health care beneficiary services, and providing administrative or technical oversight or distribution of work to health care staff. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-11).
Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience aloneno substitution of education for experience is permitted.
Education
This job does not have an education qualification requirement.
Additional information
  • Male applicants born after December 31, 1959 must complete a Pre-Employment Certification Statement for Selective Service Registration.
  • You will be required to provide proof of U.S. Citizenship.
  • This position requires a 1 year probationary period during which the agency evaluates your fitness and whether your continued employment advances the public interest. In making this determination, the agency may consider your performance and conduct; agency needs and interests; whether your continued employment supports organizational or Government goals; and whether it promotes the efficiency of the Federal service. Continued employment requires written certification that it advances the public interest.
  • Direct Deposit of Pay is required.
  • Selection is subject to restrictions resulting from Department of Defense referral system for displaced employees.
  • Multiple positions may be filled from this announcement.
  • Salary includes applicable locality pay or Local Market Supplement.
  • If you have retired from federal service and you are interested in employment as a reemployed annuitant, see the information in the Reemployed Annuitant information sheet.
  • Payment of Permanent Change of Station (PCS) costs is not authorized, based on a determination that a PCS move is not in the Government interest.
  • Position is designated as Mission Essential. The incumbent will be required to report to work during times of contingency operations, natural disasters, extreme weather or other emergency situations.

Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.
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