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SIHO Insurance Services, Inc.

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Medicare Advantage Member Service Representative

Columbus, IN · On-site

Medicare Advantage Member Services Representative (Columbus location) Reports To: Manager, MyTruAdvantage Customer Service Location Requirement: This position is based in Columbus, IN and is not ...

SIHO Insurance Services, Inc.

Be Seen First

Medicare Advantage Member Service Representative

Columbus, IN · On-site

Medicare Advantage Member Services Representative (Columbus location) Reports To: Manager, MyTruAdvantage Customer Service Location Requirement: This position is based in Columbus, IN and is not ...

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As of Aug 21, 2026, the average hourly pay for medicare in Indiana is $25.47, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $27.45 per hour, depending on experience, location, and employer.

What is a Medicare?

A Medicare job typically involves working with the federal health insurance program that provides coverage for seniors and certain individuals with disabilities. Roles in this field can include customer service representatives, claims processors, billing specialists, and Medicare advisors. Responsibilities often include helping beneficiaries understand their coverage, processing claims, ensuring compliance with regulations, and assisting with enrollment. Many Medicare jobs are found in healthcare companies, government agencies, or insurance providers.

What are the key skills and qualifications needed to thrive in the Medicare position, and why are they important?

To thrive in a Medicare Specialist role, a deep understanding of Medicare regulations, claims processing, and health insurance fundamentals is essential, often requiring a background in healthcare administration or a related field. Familiarity with billing software, claims adjudication systems, and relevant certifications such as Certified Medical Reimbursement Specialist (CMRS) are highly valuable. Strong attention to detail, analytical thinking, and effective communication skills help distinguish top performers. These competencies ensure accurate claim handling, regulatory compliance, and positive interactions with providers and beneficiaries.

What are common challenges faced by Medicare specialists, and how are they addressed on the job?

Medicare Specialists often encounter challenges related to keeping up with frequently changing regulations and managing complex claims issues. Staying current with updates requires ongoing training and close attention to industry bulletins. Handling denials or appeals can be demanding, but most teams provide collaborative support and access to resources for resolving difficult cases. Effective time management and clear communication with both beneficiaries and healthcare providers help streamline processes and ensure compliance. Many organizations also offer opportunities for skill development to help specialists adapt to evolving policies.

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For Medicare jobs in Indiana, the most frequently searched job titles are:

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Medicare jobs near you
Infographic showing various Medicare job openings in Indiana as of August 2026, with employment types broken down into 4% As Needed, 77% Full Time, 15% Part Time, and 4% Contract. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution, with an average salary of $52,979 per year, or $25.5 per hour.

Medicare Advantage Member Service Representative

SIHO Insurance Services

Columbus, IN • On-site

Other

Posted 14 days ago

Job description

Medicare Advantage Member Service Representative

Hot Job

435 Washington Street - Columbus, IN 47201

Overview

Travel Percentage No Travel Category Insurance

Description

Job Title: Medicare Advantage Member Services Representative Reports To: Manager, MytruAdvantage Customer Service

Our Vision SIHO Insurance Services will be the premier healthcare delivery system administration company, known and respected for its high quality people, innovative products and outstanding services.

Location Requirement: This position is based in Columbus, IN and is not eligible for remote work or relocation. Candidates must reside in or be willing to commute to Columbus.

MTA Member Services

SIHO's Member Services Representatives assist in creating an excellent experience for SIHO's members and their providers. The primary responsibility of this position is to respond to member's and providers inquiries. This position mainly responds to telephonic inquiries but may also be responsible for responding to written inquiries and assisting walk-in members. This is a non-exempt position.

Brief Description of Duties:

  • Assist members with navigating their healthcare needs by explaining benefits, solving claim concerns, finding a doctor nearby or being their healthcare advocate
  • Comply with regulatory requirements while addressing customer needs which may include complex benefit questions.
  • Record details of inquiries, comments, complaints, and transactions.
  • Escalate unresolved and pending customer grievances.
  • Support teammates as business needs require to ensure the organization is meeting the needs of our members and providers
  • Strive for first call resolution while demonstrating SIHO's dedication to proactively work to resolve members questions and concerns.
  • Work with partners in other departments, or to Doctors' offices to help resolve a customer concern.
  • Support your teammates as business needs require to ensure we are meeting the needs of our customers.
  • Performs other relevant duties deemed necessary to achieve department and company-wide goals.

Traits we are looking for:

  • Trustworthy Empathic Proactive
  • Compassionate Good Listener Problem Solver
  • Communicator Patient Personable & Collaborative

Schedule & Work Environment:

  • Full-time position with hybrid work arrangement (3 days in office, 2 days remote)
  • Annual schedule divided into two seasons:

Peak Season (October 1 - March 31)

  • Team coverage required 7 days/week, 8am-9pm
  • Available shifts: 8am-5pm, 9am-6pm, 12pm-9pm (remote), and 10am-7pm as needed
  • Weekend requirement: Minimum 2 weekends per month (remote shifts 12pm-9pm or 10am-7pm)
  • Schedules provided one month in advance with consideration for employee preferences

Off-Peak Season (April 1 - September 30)

  • Monday-Friday coverage between 8am-9pm
  • Available shifts: 8am-5pm, 9am-6pm, or 12pm-9pm (remote)
  • Must work one late shift per week (either 9am-6pm or 12pm-9pm)

Minimum Skills Requirement:

  • Possess a passion for customer service
  • Excellent communications (oral and written) and strong listening skills
  • General knowledge and understanding of health insurance
  • Knowledge of Medicare Advantage is preferred, but not required
  • This job calls for strong emotional intelligence to proactively provide solutions, ensuring the member's health and safety
  • Ability to maintain attendance to support required quality and quantity of work
  • Professional appearance and presence
  • Commitment to support and maintain confidentiality in conformance to HIPAA guidelines

Required Education:

  • High School Diploma and 2 years of Customer service experience
  • Working experience of Microsoft Office or other comparable software

Note: This position supports Medicare Advantage/MyTruAdvantage products, requiring weekend availability during peak season to ensure continuous member support.

*All positions are subject to change based on the needs of the business

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