Call Center Representative handling healthcare service inquiries for Rhode Island Medicaid members by providing accurate support. Responsibly addressing claims, billing, and eligibility inquiries in a hybrid work environment.
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.
Call Center Agent in Florida Department of Revenue assisting taxpayers with inquiries on tax bills and delinquencies. Requires bilingual ability in English and Spanish, and prior customer service experience.
BSS Provider Experience Representative answering provider inquiries at Banner Health. Delivering customer service in a fast - paced hybrid environment in Arizona.
Virtual Branch Services Representative at KEMBA Financial providing sales and service support for Member - based business. Professionally servicing Member activity and ensuring compliance with policies and procedures.
Product Manager leading Client Identity and Access Management strategy execution at KeyBank. Focused on fraud prevention and client protection in the Branch & Contact Center channels.
Proactive Contact Center Technician responsible for CCaaS platform configurations and integrations. Collaborating with business stakeholders to optimize technical solutions in hybrid work environment.
Head of Call Center driving customer service excellence and team leadership in a leading Medispa in Canada. Overseeing operations and ensuring high performance in a dynamic environment.
Bilingual Call Centre Representative handling telephone and email inquiries for residents. Organizing appointments and tracking leads while ensuring exceptional customer service standards.
Join Tokio Marine as an Analista de Contact Center, enhancing internal communication and engagement strategies. Focus on creating compelling content and effective campaigns.
Supervisor of Contact Center at Tokio Marine responsible for enhancing team performance and client satisfaction through motivational campaigns and feedback. Focused on sales performance and team evaluation.