The representative will respond to Medicaid member inquiries using standard scripts and procedures while documenting calls in a computerized system. They will also assist members with eligibility information, application completion, and status updates to ensure their needs are met.
Requirements overview
Candidates must have a high school diploma or equivalent and at least one year of call center or telephone customer service experience. Proficiency in navigating multiple computer systems and the ability to pass a service skills assessment are also required.
Key skills
Customer serviceCall center operationsMedicaid eligibilityData entryDatabase documentationProblem-solvingCommunicationMulti-taskingTime managementComputer literacyBilingualSpanishEnglishMedical insurance knowledgeAttention to detail
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Conduent delivers digital business solutions and services spanning the commercial, government and transportation spectrum – creating valuable outcomes for its clients and the millions of people who count on them. We leverage cloud computing, artificial intelligence, machine learning, automation and advanced analytics to deliver mission-critical solutions. Through a dedicated global team of approximately 55,000 associates, process expertise and advanced technologies, our solutions and services digitally transform our clients’ operations to enhance customer experiences, improve performance, increase efficiencies and reduce costs. We drive progress in every process for our client including disbursing approximately $100 billion in government payments annually, enabling 2.3 billion customer service interactions annually, empowering millions of employees through HR services every year and processing nearly 13 million tolling transactions every day.
Learn more at www.conduent.com
Customer Service & SupportHealthcareGovernment & Public SectorSocial ServicesAdministrative
Description
Call Center Representative – Medicaid Member Support (Bilingual English/Spanish)
Location: Remote-South Carolina, North Carolina and Georgia.
Pay Rate: $17.50 per hour
Employment Type: Full time
Shift Information: 40 hours per week
Job Summary:
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.
Key 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
Required Qualifications:
* 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.
Preferred Qualifications:
* 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.
What We Offer:
* Pay Rate is $17.50 per hour (Bi-weekly pay), which may be your state’s
minimum wage. Please take this into consideration when applying.
* Benefits from day one (medical, dental, vision) for eligible roles.
* PerkSpot – Employee discount program.
* Paid time off and holidays.
* Paid training.
* Equipment provided.
* Career growth and advancement opportunities.
* Supportive and inclusive work environment.
* No weekend.
* Training is 4 weeks (8:30 am – 5:00 pm EST) After training the working hours
will be an 8-hour shift in the hours of operation.
* Full time schedule (40 hrs. per week)
We are currently NOT hiring in the following geographies, including but not
limited to:
States: AK, CA, HI, MA, IL, MT, NY, & Puerto Rico
Metro Areas: MN – Minneapolis, IL – Chicago, NY – New York City, OR – Portland,
MD – Montgomery County, WA – Seatle, Washington, DC
Apply now and make an impact from day one
Pay Transparency:
Pay Transparency Laws in some locations require disclosure of compensation
and/or benefits-related information. For this position, actual salaries will
vary and may be above or below the range based on various factors including but
not limited to location, experience, and performance. In addition to base pay,
this position, based on business need, may be eligible for a bonus or incentive.
In addition, Conduent provides a variety of benefits to employees including
health insurance coverage, voluntary dental and vision programs, life and
disability insurance, a retirement savings plan, paid holidays, and paid time
off (PTO) or vacation and/or sick time. The estimated hourly rate for this role
is $17.50 per hour, which may be below your state's minimum wage. Please take
this into consideration when applying.
#Remote44
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.
Conduent is an Equal Opportunity Employer and considers applicants for all
positions without regard to race, color, creed, religion, ancestry, national
origin, age, gender identity, gender expression, sex/gender, marital status,
sexual orientation, physical or mental disability, medical condition, use of a
guide dog or service animal, military/veteran status, citizenship status, basis
of genetic information, or any other group protected by law.
For US applicants: People with disabilities who need a reasonable accommodation
to apply for or compete for employment with Conduent may request such
accommodation(s) by submitting their request through this form that must be
downloaded: click here to access or download the form
[https://downloads.conduent.com/content/usa/en/file/conduent-applicant-adaaa-referral-form.pdf].
Complete the form and then email it as an attachment to FTADAAA@conduent.com
[FTADAAA@conduent.com]. You may also click here to access Conduent's ADAAA
Accommodation Policy
[http://downloads.conduent.com/content/usa/en/document/cdt_adaaa_accommodation_pol.pdf].