Call Center Associate - Medicaid

Conduent Incorporated-posted 4 months ago
Full-time • Entry Level
Remote • Richmond, VA
5,001-10,000 employees
Administrative and Support Services
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Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day. Call Center Customer Service Representative. This is a great opportunity to learn Medicaid benefits, eligibility and claims analysis to assist Medicaid recipients and healthcare providers.

  • Using a computerized system, responds to Virginia Medicaid member and provider inquiries in a call center environment using standard scripts and procedures.
  • Gathers information, assesses caller needs, research and resolves inquiries and documents calls.
  • Provides clear and concise information regarding eligibility, claim status and provider enrollment status.
  • Follows documented policies and procedures including call handling and escalations.
  • Overall acts as an advocate for the both Medicaid recipients and providers to ensure their needs are met.
  • Verify documents and images.
  • Complete required assigned training.
  • Must be at least 18 years of age or older.
  • Must have a high school diploma or general education degree (GED).
  • Must be eligible to work in the United States.
  • Must be able to clear a criminal background check and drug test.
  • High Speed internet access and space to work away from noise and distractions.
  • Previous experience with Medicaid, Medicare, or Health Insurance preferred.
  • Computer system experience with data entry and database documentation knowledge.
  • Call center or professional office experience.
  • Knowledge of Medicaid Management Information System (MMIS) is helpful.
  • Bilingual; Spanish speaking preferred.
  • Full-time employment with benefits.
  • Work from home opportunity.
  • Hourly rate of $16.50/hour starting on day one.
  • Standard scheduled. 8:30am - 5pm EST Monday through Friday, Weekends OFF!!
  • Substantial Call Center & Customer Service Training.
  • Great Work Environment with Career growth.
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