Bilingual Call Center Specialist – Health Plan Support

Driscoll Children's Hospital; McAllen (TX); On-site; USD 32,000 - 52,000; Full time

Benefits offered by this job

Sign-on bonus

Job summary

Driscoll Health Plan Call Center is seeking a friendly, dependable Call Center Customer Service Representative to assist members and providers with Medicaid benefits, eligibility, claims, and related services. This fast-paced, phone-based role emphasizes excellent communication, patience, and problem-solving to deliver exceptional customer service.

The position is onsite with a Monday–Friday schedule, 8:00am–4:30pm or 8:30am–5:00pm. A $3,500 sign-on bonus is offered to new hires.

Qualifications

• High … 123?

Responsibilities

• Meet established call center performance expectations, including spending approximately 90% of scheduled time handling phone calls, based on business needs.
• Answer incoming calls from Driscoll Health Plan members and healthcare providers in a professional, courteous, and timely manner.
• Assist callers with questions regarding Medicaid benefits, eligibility, claims, authorizations, pharmacy benefits, transportation, provider information, and other healthcare services.
• Provide accurate information and work toward resolving questions or concerns during the first call whenever possible.
• Navigate multiple computer systems to research information, document interactions, and resolve customer inquiries.
• Maintain accurate and detailed documentation of calls, inquiries, and resolutions.
• Assist members with locating healthcare providers assist an e‑
• STUFF … ?

Job description

Driscoll Health Plan Call Center is seeking a friendly, dependable Call Center Customer Service Representative to assist members and providers with Medicaid benefits, eligibility, claims, and related services. This fast-paced, phone-based role emphasizes excellent communication, patience, and problem-solving to deliver exceptional customer service.

The position is onsite with a Monday–Friday schedule, 8:00am–4:30pm or 8:30am–5:00pm. A $3,500 sign-on bonus is offered to new hires.