Customer Service Rep

Job Responsibilities: Process specialized Medicaid eligibility cases with a high degree of accuracy. Research and process appeals as assigned by supervisors. Serve as a Subject Matter Expert (SME) on eligibility policies and processes. Create and maintain work plan documentation. Track project status and due dates. Collaborate with project managers on various initiatives. Support training teams by assisting new hires during sandbox and transition periods. Ensure compliance with program policies and procedures. Skills: Medicaid eligibility and enrollment knowledge Case management Appeals processing Microsoft Office (Word, Excel, Outlook) Basic computer navigation Research and analytical skills Strong communication and organizational skills English proficiency required Bilingual (English/Spanish) preferred for bilingual positions Education/Experience: High School Diploma or GED required. Associate Degree preferred. Minimum 4+ years of relevant professional experience required, or an equivalent combination of education and experience. Candidates with an Associate Degree and 2+ years of relevant experience are preferred. #J-18808-Ljbffr SGS Consulting