Call Center Representative Medicaid Member Support (Bilingual English/Spanish)

Call Center Representative Medicaid Member Support (Bilingual English/Spanish)

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

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.