Medicaid Customer Service Advocate

Job Summary

To support member inquiries in a call center environment, the full-time Medicaid Customer Service Advocate will answer questions related to product information, benefits, claims resolution, eligibility, and billing while providing education and basic technical assistance to members, providers, and brokers remotely.

Key responsibilities

• Provide first-level problem resolution to inquiries via phone and written correspondence, ensuring accurate claim verification and issue resolution
• Educate customers on product knowledge and contractual provisions, documenting all interactions according to departmental procedures
• Maintain customer records and participate in ongoing education related to new services and industry topics

Required qualifications

• High School Diploma or GED
• Less than one year of customer service experience
• Experience in a call center environment or familiarity with medical or insurance terminology is preferred
• Successful completion of provided training
• Ability to effectively navigate PC systems and perform data entry tasks