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Medicare Inbound Jobs in Illinois (NOW HIRING)

WEX

Customer Service Specialist

Chicago, IL · On-site

$17.50 - $23.25/hr

This role is responsible for answering inbound inquiries regarding account maintenance, billing ... Supporting participants with HSA, FSA, HRA, and Medicare Advantage products. * WEX Health (COBRA)

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Medicare Inbound information

What is a Medicare Inbound representative?

Medicare Inbound representatives are customer service professionals who handle incoming calls from individuals seeking information about Medicare plans, enrollment, and benefits. They assist callers—often seniors or those approaching eligibility—with understanding plan options, coverage details, and the enrollment process. Their role is crucial in providing accurate, clear information to help people make informed healthcare decisions. These representatives often work for insurance companies or third-party agencies that support Medicare beneficiaries.

What skills and qualifications are needed to thrive as a Medicare Inbound representative?

To excel as a Medicare Inbound Representative, you typically need strong knowledge of Medicare plans, excellent customer service skills, and a high school diploma or equivalent. Familiarity with CRM systems, call center software, and sometimes a health insurance license are important technical qualifications. Outstanding communication, patience, and problem-solving abilities help representatives build trust and effectively address client needs. These competencies ensure accurate information delivery, regulatory compliance, and a positive customer experience for Medicare beneficiaries.

What is the difference between Medicare Inbound vs Medicare Customer Service Representative?

AspectMedicare InboundMedicare Customer Service Representative
CertificationsKnowledge of Medicare policies, possibly required certificationsSame certifications, focus on Medicare knowledge
Work EnvironmentCall centers, remote or office-basedCall centers, remote or office-based
Employer & IndustryHealth insurance companies, Medicare providersHealth insurance companies, Medicare providers
Job FocusHandling inbound calls about Medicare plans and coverageAssisting customers with Medicare inquiries and issues

Both roles involve assisting Medicare beneficiaries via inbound calls, requiring similar certifications and work environments. The main difference lies in job titles used by employers, but their responsibilities and industry context are closely aligned.

What are common challenges faced by Medicare Inbound representatives, and how can they be managed?

Medicare Inbound representatives often encounter challenges such as handling high call volumes, addressing complex customer inquiries about benefits and coverage, and staying current with frequently changing Medicare regulations. To manage these challenges, it's important to develop strong organizational skills, utilize internal resources and knowledge bases, and actively participate in ongoing training. Effective communication and patience are also key, as representatives regularly interact with seniors who may need extra assistance understanding their options.
What are popular job titles related to Medicare Inbound jobs in Illinois? For Medicare Inbound jobs in Illinois, the most frequently searched job titles are:
What job categories do people searching Medicare Inbound jobs in Illinois look for? The top searched job categories for Medicare Inbound jobs in Illinois are:
Medicare Inbound jobs near you
Infographic showing various Medicare Inbound job openings in Illinois as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution.

Patient Access Specialist - PRN

Ensemble Health Partners

Highland, IL

$17 - $18.15/hr

Per diem

Re-posted yesterday

Ensemble Health Partners rating

6.6

Company rating: 6.6 out of 10

Based on 244 frontline employees who took The Breakroom Quiz

141st of 150 rated financial services

Job description

ENTRY LEVEL CAREER OPPORTUNITY OFFERING:

  • Bonus Incentives

  • Paid Certifications

  • Tuition Reimbursement

  • Comprehensive Benefits

  • Career Advancement

  • This position pays between $17.00 - $18.15/hr based on experience

***This position is an onsite role and candidates must be able to work on-site at HSHS- St. Joseph Highland Hospital in Highland, IL****

Hours: min 6 hours per week (as needed)

We are searching for the next Patient Access Specialist champion. This role is responsible for performing admitting duties for all patients admitted for services at the hospital. They are responsible for performing these functions while meeting the mission and goals of the organization and all regulatory compliance requirements. The Representative will work within the policies and processes as they are being performed across the entire organization.

Job Responsibilities:

  • The Patient Access Representative is responsible for performing admitting duties for all patients admitted for services at the hospital. They are responsible for performing these functions while meeting the mission and goals of the organization and all regulatory compliance requirements. The Representative will work within the policies and processes as they are being performed across the entire organization.

  • Responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving and processing physician orders, and utilizing a overlay tool while providing excellent customer service as measured by Press Ganey.

  • Operates the telephone switchboard to relay incoming, out-going and inter-office calls as applicable. They are to adhere to policies, and provide excellent customer service in these interactions with the appropriate level of compassion. Patient Access staff will be held accountable for point of service goals as assigned.

  • Responsible for the utilization of quality auditing and reporting systems to ensure accounts are corrected. These activities may include accounts for other employees, departments, and facilities. Conducts audits of accounts and assures that all forms are completed accurate, timely to meet audit standards and provides statistical data to Patient Access leadership.

  • Responsible for the pre-registration of patient accounts prior to patient visits. This may include inbound and outbound calling to obtain demographic, insurance, and other patient information including the patient financial liabilities including collecting point of service collections as well as past due balances including payment plan options.

  • Explains general consent for treatment forms to the patient/guarantor/legal guardian, obtains necessary signatures and witnesses name.

  • Explains and distributes patient education documents, such as Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON form, Consent forms, and all forms implemented for future services.

  • Reviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code, enters benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate.

  • Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate. Responsible for distribution and documentation of other designated forms and pamphlets.

Experience:

  • 1+ years of customer service experience

  • Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.

Required Education:

  • High School Diploma/GED Required

Certification:

  • CRCR Required within 6 months of hire (Company Paid)

What Ensemble Health Partners employees say

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