Remote Call Center Associate – Medicaid

ConduentVale, OR
$18Remote

About The Position

We’re hiring Remote Call Center Representatives for our Government Healthcare Solutions account in Richmond, VA to provide high-quality customer service support in a fast-paced call center environment. In this role, you will handle inbound customer calls, resolve inquiries, and deliver a positive customer experience while meeting performance goals. This is a great opportunity to learn Medicaid benefits, eligibility, and claims analysis to assist Medicaid recipients and healthcare providers.

Requirements

  • High school diploma or GED required
  • Background check and or Drug screening
  • High Speed internet access and space to work away from noise and distractions
  • Bilingual skills (Spanish speaking preferred)
  • Previous call center or customer service experience
  • Previous experience with Medicaid, Medicare, or Health Insurance preferred
  • Computer system experience with data entry and database documentation knowledge.
  • Experience in handling inbound customer support calls
  • Strong communication and customer service skills
  • Ability to work in a fast-paced call center environment
  • Basic computer skills and ability to navigate multiple systems
  • Reliable attendance and strong work ethic

Nice To Haves

  • Knowledge of Medicaid Management Information System (MMIS) is helpful

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
  • Meet productivity, attendance, and performance metrics
  • Collaborate with team members to improve customer satisfaction
  • Verify documents and images
  • Complete required assigned training

Benefits

  • medical, dental, vision
  • Paid time off and holidays
  • Paid training
  • health insurance coverage
  • voluntary dental and vision programs
  • life and disability insurance
  • a retirement savings plan
  • paid holidays
  • paid time off (PTO) or vacation and/or sick time
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