Call Center Representative handling healthcare service inquiries for Rhode Island Medicaid members and providers. Supporting claims, billing, and eligibility requests with strong customer service focus.
Responsibilities
Answer 40–50 inbound calls daily from providers and Medicaid members, delivering clear, accurate, and empathetic assistance.
Research and resolve eligibility, billing, and claim-related questions using available resources and Medicaid guidelines.
Document all inquiries and outcomes within the system, ensuring timely follow-up and resolution.
Support enrollment activities by processing updates, mailing provider correspondence, and assisting with quality control checks.
Train and assist new team members to ensure consistent service delivery and knowledge sharing.
Requirements
Two or more years of customer service experience, either face-to-face or by phone, preferably in a healthcare or call center setting.
Strong communication and active listening skills with the ability to handle complex or sensitive inquiries.
Detail-oriented, dependable, and capable of managing multiple tasks in a fast-paced environment.
Proficient in computer systems and data entry with solid typing skills.
Previous medical, insurance, or medical billing experience preferred but not required.
Senior Engineer designing and developing advanced contact center solutions at Ascensus. Leading implementation of NICE inContact or CXone technologies with a focus on innovation and customer engagement.
Leads a team of dynamic customer service specialists at Purple to provide world - class service. Requires leadership experience and a passion for mentoring in the comfort product industry.
Supervisor managing HR Shared Services Tier 1 operations and case management at Trinity Health. Leading daily functions and collaborating with department managers to achieve targets.
Call Center Agent providing empathetic support to clients and facilitating repayment agreements. Working in a hybrid environment with structured training and shift scheduling.
Call Center Representative handling customer inquiries for automotive parts distributor. Responsible for completing orders, resolving issues, and meeting sales goals through inbound and outbound calls.
Call Center Agent handling Swiss customer inquiries via phone and written communication. Fulfilling customer expectations and providing solutions to inquiries with excellent communication skills.
Community & Event Assistant supporting community event preparations and administrative tasks for a growing German company in Pristina. Focused on communication and data management in a hybrid work setting.
HRA Call Center Agent conducting health risk assessments over the phone for Independent Living Systems. Collecting medical history and providing guidance on preventative care measures.
Jefe de Contact Center en Tenpo, transformando la experiencia del cliente a través de la excelencia operacional. Liderando la gestión de operaciones y mejora continua en un entorno dinámico.
Motor Vehicle Call Center Agent III providing customer service for DMV inquiries in Vermont. Handling questions and issues related to titles, registrations, and driver licenses via phone and electronically.