About the role

  • 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.

Benefits

  • Comprehensive health benefits
  • 401(k) employer match
  • Generous, flexible vacation policy
  • Educational assistance
  • Leadership and technical development academies

Job title

Call Center Representative

Job type

Experience level

JuniorMid level

Salary

$29,100 - $41,600 per year

Degree requirement

No Education Requirement

Location requirements

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