Call Center Representative – Medicaid Member Support, Bilingual English/Spanish

This is a fully remote position, open to applicants in North Carolina, +1 more state.

📋 Description

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

• Collect information, evaluate caller requirements, research and resolve inquiries, and document calls appropriately.

• Provide details regarding member eligibility.

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

• Adhere to documented policies and procedures, including call handling and escalation protocols.

• Act as an advocate for Medicaid members to ensure their needs are satisfactorily met.

• Navigate through multiple computer applications and screens.

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

• Deliver excellent customer service while addressing complex or escalated inquiries, all while achieving performance targets.

⛳️ Requirements

• Must be at least 18 years old.

• A High School Diploma or an equivalent educational qualification is required.

• Ability to undergo a pre-employment screening is necessary.

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

• Successful completion of the Call Center – Service Skills Assessment and Internet Speed test is required.

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

• Proficient computer skills and the ability to utilize multiple programs and navigate various screens are essential.

• Comfortable working within established processes and procedures.

• Bilingual skills in English and Spanish are preferred for this role.

• Previous customer service or call center experience is preferred.

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

• Experience with data entry and database documentation is preferred.

🏝️ Benefits

• Immediate benefits (medical, dental, vision) for eligible positions.

• PerkSpot – Employee discount program available.

• Paid time off and holidays provided.

• Paid training offered.

• Necessary equipment will be supplied.

• Opportunities for career growth and advancement.

• A supportive and inclusive work environment.

• No weekend shifts required.

• Bi-weekly pay schedule.

• Retirement savings plan included.

• Life and disability insurance available.

• Optional dental and vision programs offered.