Call Center Associate – Medicaid Remote

Conduent State Healthcare, LLC

4d•Remote

About The Position

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. This is a great opportunity to learn Medicaid benefits, eligibility, and claims analysis to assist Medicaid recipients and healthcare providers.

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.