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.
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