Job Description:
• Respond to Virginia Medicaid member and provider inquiries using a computerized system, standard scripts, and procedures
• Gather information, assess caller needs, research and resolve inquiries, and document calls
• Provide information regarding eligibility, claim status, and provider enrollment status
• Follow documented policies and procedures, including call handling and escalations
• Advocate for Medicaid recipients and providers
• Meet productivity, attendance, and performance metrics
• Collaborate with team members to improve customer satisfaction
• Verify documents and images
• Complete required assigned training
Requirements:
• High school diploma or GED required
• Background check and/or drug screening
• High-speed internet access
• Dedicated workspace away from noise and distractions
• Bilingual skills; Spanish speaking preferred
• Previous call center or customer service experience preferred
• Previous experience with Medicaid, Medicare, or health insurance preferred
• Computer system experience with data entry and database documentation knowledge preferred
• Knowledge of Medicaid Management Information System (MMIS) helpful
• Experience handling inbound customer support calls
• Strong communication and customer service skills
• Ability to work in a fast-paced call center environment
• Basic computer skills and ability to navigate multiple systems
• Reliable attendance and strong work ethic
Benefits:
• Benefits from day one (medical, dental, vision) for eligible roles
• Paid time off and holidays
• Weekends off
• Paid training
• Career growth and advancement opportunities
• Supportive and inclusive work environment
• Health insurance coverage
• Voluntary dental and vision programs
• Life and disability insurance
• Retirement savings plan
• Bonus or incentive eligibility based on business need