Healthcare Call Center Representative

Job Summary

Providing exceptional customer service remotely, the full-time Healthcare Call Center Representative will assist Medicaid providers and members with coverage, claims, and benefit-related inquiries while ensuring timely follow-up and resolution.

Key responsibilities:

• Answer inbound calls within 30 seconds and utilize multiple systems to service calls
• Research and resolve disputed claims while complying with contract requirements and legal regulations
• Maintain punctuality and reliable attendance while meeting performance expectations in a metric-driven environment

Required qualifications:

• At least one year of call center experience, preferably in healthcare or Medicaid
• Experience working in a metric-driven environment and with auto answer systems
• Ability to learn independently and follow written policies and procedures
• Prior office or clerical experience
• Basic understanding of Microsoft Office products and ability to use a PC for information retrieval