[Hiring] Call Center Associate @Conduent State Healthcare, LLC

Role Description

We’re hiring Remote Call Center Representatives for our Government Healthcare Solutions account in Richmond, VA to provide high-quality customer service support in a fast-paced call center environment. In this role, you will handle inbound customer calls, resolve inquiries, and deliver a positive customer experience while meeting performance goals. This is a great opportunity to learn Medicaid benefits, eligibility, and claims analysis to assist Medicaid recipients and healthcare providers.

• Using a computerized system, responds to Virginia Medicaid member and provider inquiries in a call center environment using standard scripts and procedures.
• Gathers information, assesses caller needs, researches and resolves inquiries, and documents calls.
• Provides clear and concise information regarding eligibility, claim status, and provider enrollment status.
• Follows documented policies and procedures including call handling and escalations.
• Acts as an advocate for both Medicaid recipients and providers to ensure their needs are met.
• Meets productivity, attendance, and performance metrics.
• Collaborates with team members to improve customer satisfaction.
• Verifies documents and images.
• Completes required assigned training.

Qualifications

• High school diploma or GED required.
• Background check and/or drug screening.
• High-speed internet access and space to work away from noise and distractions.
• Bilingual skills (Spanish speaking preferred).

Requirements

• Previous call center or customer service experience.
• Previous experience with Medicaid, Medicare, or Health Insurance preferred.
• Computer system experience with data entry and database documentation knowledge.
• Knowledge of Medicaid Management Information System (MMIS) is helpful.
• Experience in 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

• Full-time employment.
• Competitive hourly pay.
• Benefits from day one (medical, dental, vision) for eligible roles.
• Paid time off and holidays.
• Standard schedule: 8:30am – 5pm EST Monday through Friday, Weekends OFF!!
• Paid training.
• Great work environment with career growth and advancement opportunities.
• Supportive and inclusive work environment.