Call Center Specialist

Essential Job Functions

* Identifies, prioritizes, and resolves most questions.

* Receives calls and provides accurate, acceptable answers to queries and concerns.

* De-escalates situations involving dissatisfied callers, offering patient assistance and support.

* Guides callers through troubleshooting and navigating the Medicaid sites and/or services

* Reviews customer or client accounts, providing updates and information per established program policies

Basic Qualifications

* At least two years of Medicaid claims/policies, healthcare insurance, or healthcare industry experience.

* Ability to follow written policies, procedures, and guidelines.

* Ability to read and interpret basically to moderately complex documents, such as operating and maintenance instructions, procedure manuals, and government/healthcare guidelines.

* Excellent written and verbal communication skills, customer service skills, professional telephone and presentation skills, excellent organizational, time management and prioritization skills.

* Good personal computer and business solutions software skills.

Benefit packages for this role will start on the 1st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.