Call Center Representative

Customer Service Representative

We are seeking a Customer Service Representative with a healthcare or medical background to support Medicaid providers and clients. In this role, you will handle high-volume inbound calls, assist with questions related to eligibility, medical claims, and Medicaid program information, resolve issues when possible, and ensure every customer interaction is accurately documented.

Responsibilities:

• Provide prompt, courteous, and accurate assistance to Medicaid providers and clients.
• Respond to inquiries related to Medicaid eligibility, medical claims status, and program-related questions.
• Research and assist with resolving customer issues as needed.
• Handle a high volume of inbound calls while maintaining quality and professionalism.
• Document all customer interactions accurately and concisely in online systems/logs.
• Transfer callers to the appropriate Call Center unit when additional assistance is required.
• Meet established individual performance, productivity, quality, and attendance standards.
• Maintain strict adherence to required attendance and performance metrics.
• Perform additional duties as assigned by management.

Required Qualifications:

• Minimum 6 months of recent contact center/call center experience in a verifiable high-volume call center environment.
• Healthcare, medical, Medicaid, insurance, claims, or healthcare customer service experience is strongly preferred.
• Strong verbal and written communication skills.
• Ability to handle high call volumes while maintaining accuracy and professionalism.
• Ability to work any assigned 8-hour shift between 7:00 AM and 7:00 PM.

Preferred Skills

• Experience in a medical, healthcare, Medicaid, insurance, or claims environment.
• MS Office experience.
• Experience working with customer service or healthcare-related computer systems.
• Strong problem-solving and multitasking abilities.

Benefits:

• The Company offers the following benefits for this position, subject to applicable eligibility requirements: medical insurance, dental insurance, vision insurance, 401(k) retirement plan, life insurance, long-term disability insurance, short-term disability insurance, paid parking/public transportation, (paid time, paid sick and safe time, hours of paid vacation time, weeks of paid parental leave, paid holidays annually - AS Applicable.