Call Center Representative – Medicaid Member Support (Bilingual English/Spanish)

Conduent State Healthcare, LLCColumbia, SC
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. We’re hiring a Call Center Representative-Medicaid Member Support (Bilingual English/Spanish), where you'll play a key role in delivering exceptional customer service and resolving complex customer inquiries. In this position, you will handle escalated customer issues, provide high-quality service support in a fast-paced call center environment. Your assistance will make a positive difference in the organization you support. You will be able to provide successful administration and resolve inquiries and deliver positive customer experience while meeting performance goals.

Requirements

  • Must be 18 years of age or older.
  • Have a High School Diploma or an equivalent of education required.
  • Must be able to submit to a pre-employment screening.
  • Have legal authorization to work permanently in the United States without requiring a visa transfer or visa sponsorship.
  • Customer service or call center experience preferred.
  • Must pass the Call Center – Service Skills Assessment and Internet Speed test.
  • A minimum of 1-year call center experience in telephone customer service or related experience.
  • Computer literacy and ability to use multiple programs and navigate multiple screens.
  • Comfortable working within established processes and procedures.

Nice To Haves

  • Strong customer service, communication, and problem-solving skills.
  • Experience handling escalated customer concerns and complex issues.
  • Positive and energetic attitude.
  • Ability to communicate clearly and confidently.
  • Ability to multi-task and manage time effectively.
  • Proficiency in navigating multiple systems and maintaining accurate documentation.
  • Attestation to detail, grammar, and spelling accuracy.
  • One year of medical insurance or medical office experience, preferred.
  • Computer system experience with data entry and database documentation knowledge.
  • Previous call center or customer service experience.
  • Experience handling inbound customer support calls.
  • Bilingual skills in English/Spanish preferred.

Responsibilities

  • Using a computerized system, responds to South Carolina Medicaid member inquiries in a call center environment using standard scripts and procedures.
  • Gathers information, assesses caller needs, researches, and resolves inquiries, and document calls.
  • Provides clear and concise information regarding member eligibility, along with assisting callers with completing their Medicaid applications and providing updates on their application status.
  • Follows documented policies and procedures including call handling and escalations.
  • Overall acts as an advocate for Medicaid members to ensure their needs are met.
  • Navigate across multiple computer screens while accessing and reviewing information from various applications.
  • Utilizes 5 systems to gather information and document up to 3 systems

Benefits

  • medical, dental, vision
  • PerkSpot – Employee discount program.
  • Paid time off and holidays.
  • Paid training.
  • Equipment provided.
  • Career growth and advancement opportunities.
  • Supportive and inclusive work environment.
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