Call Center Representative – Medicaid Member Support

This is a fully remote position, open to applicants in South Carolina.

📋 Description

• Respond to inquiries from South Carolina Medicaid members in a call center setting, utilizing standard scripts and procedures.

• Collect information, evaluate caller needs, investigate and resolve inquiries, and document calls effectively.

• Provide details regarding member eligibility.

• Assist callers in completing Medicaid applications and offer updates on application status.

• Adhere to documented policies and procedures, including call management and escalations.

• Advocate for Medicaid members to ensure their needs are appropriately addressed.

• Navigate through multiple computer screens and retrieve information from various applications.

• Utilize five systems to gather information and document in up to three different systems.

• Deliver exceptional service support while achieving performance goals.

⛳️ Requirements

• Must be at least 18 years old.

• A High School Diploma or equivalent education is required.

• Must be willing to undergo a pre-employment screening.

• Must have legal authorization to work permanently in the United States without requiring visa transfer or sponsorship.

• Must successfully complete the Call Center – Service Skills Assessment and Internet Speed test.

• A minimum of 1 year of experience in a call center or telephone customer service is required.

• Must possess computer literacy and the ability to use multiple programs while navigating various screens.

• Comfortable working within established processes and procedures.

• Customer service or call center experience is preferred.

• Strong customer service, communication, and problem-solving skills are preferred.

• Experience in handling escalated customer concerns and complex issues is preferred.

• Ability to multi-task and manage time effectively is preferred.

• Proficiency in navigating multiple systems and maintaining accurate documentation is preferred.

• One year of experience in medical insurance or a medical office is preferred.

• Experience with data entry and database documentation in computer systems is preferred.

• Prior call center or customer service experience is preferred.

• Experience in handling inbound customer support calls is preferred.

🏝️ Benefits

• Benefits available from day one (medical, dental, vision) for eligible roles.

• Access to the PerkSpot employee discount program.

• Paid time off and holidays.

• Paid training provided.

• Equipment will be supplied.

• Opportunities for career growth and advancement.

• A supportive and inclusive work environment.

• No weekend work required.

• Bi-weekly pay schedule.

• Full-time work schedule (40 hours per week).

• Training period of 4 weeks (8:30 am–5:00 pm EST).