Job Description
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description This role involves supporting Medicaid recipients and healthcare providers as a Call Center Customer Service Representative. This is a great opportunity to learn Medicaid benefits, eligibility, and claims analysis. • Using a computerized system, respond to Virginia Medicaid member and provider inquiries in a call center environment using standard scripts and procedures. • Gather information, assess caller needs, research and resolve inquiries, and document calls. • Provide clear and concise information regarding eligibility, claim status, and provider enrollment status. • Follow documented policies and procedures including call handling and escalations. • Act as an advocate for both Medicaid recipients and providers to ensure their needs are met. Qualifications • Positive and energetic attitude. • Ability to communicate clearly and confidently. • Ability to multi-task and manage time effectively. • Attention to detail, grammar, and spelling accuracy. 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. Benefits • Full-time employment with benefits. • Work from home opportunity. • Hourly rate of $16.50/hour starting on day one. • Standard schedule: 8:30am – 5pm EST Monday through Friday, Weekends OFF. • Substantial Call Center & Customer Service Training. • Great Work Environment with Career growth. Preferred Experience • 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. Apply tot his job