Call Center Associate – Medicaid Remote

Conduent•Vale, OR

4d•$17 - $18•Remote

About The Position

This is a great opportunity to learn Medicaid benefits, eligibility, and claims analysis to assist Medicaid recipients and healthcare providers. The role involves using a computerized system to respond to Virginia Medicaid member and provider inquiries, gathering information, assessing caller needs, researching and resolving inquiries, and documenting calls. The associate will provide clear and concise information regarding eligibility, claim status, and provider enrollment status, while following documented policies and procedures. The role also acts as an advocate for both Medicaid recipients and providers to ensure their needs are met.

Requirements

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.

Nice To Haves

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

Responsibilities

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 both Medicaid recipients and providers to ensure their needs are met.
Verify documents and images.
Complete required assigned training.