Call Center Representative – Medicaid Member Support (Bilingual English/Spanish)

Conduent State Healthcare, LLC; Colorado; Remote; USD 36,000 - 42,000; Full time

Benefits offered by this job

Benefits from day one

Paid time off and holidays

Paid training

Equipment provided

Career growth and advancement

No weekend

Job summary

Conduent State Healthcare, LLC is hiring a Call Center Representative – Medicaid Member Support (Bilingual English/Spanish) to handle escalated inquiries in a fast-paced environment. You will assist with eligibility, applications, and updates, while delivering exceptional service and meeting performance goals.

The role requires a minimum of 1 year in a call center, strong communication skills, and the ability to navigate multiple systems.

Qualifications

• Must be 18 years of age or older.
• High School Diploma or equivalent.
• Must be able to submit to a pre-employment screening.
• Legal authorization to work permanently in the United States without visa sponsorship.
• Call center experience preferred.
• Must pass the Call Center – Service Skills Assessment and Internet Speed test.
• Minimum 1 year of call center experience in telephone customer service or related experience.
• Computer literacy and ability to use multiple programs and navigate multiple screens.
• Comfortable working within established processes and procedures.

Responsibilities

• Respond to Medicaid member inquiries in a call center using standard scripts and procedures.
• Gathers information, assesses caller needs, researches, and resolves inquiries, and documents calls.
• Provides information regarding member eligibility and assists with completing Medicaid applications and updates on status.
• Follows documented policies and procedures including call handling and escalations.
• Advocates for Medicaid members to ensure needs are met.
• Navigate across multiple computer screens while accessing information from various applications.
• Utilize multiple systems to gather information and document across systems.

Skills

Customer service

Communication

Problem solving

Bilingual English/Spanish

Multitasking

Data entry

Education

High School Diploma

Tools

CRM systems

Data entry tools

Job description

Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.

Call Center Representative – Medicaid Member Support (Bilingual English/Spanish)

Location:

Remote-South Carolina, North Carolina and Georgia.

Pay Rate:

$17.50 per hour

Employment Type:

Full time

Shift Information:

40 hours per week

Job Summary:

We're hiring a Call Center Representative-Medicaid Member Support (Bilingual English/Spanish), where you'll play a key role in delivering exceptional customer service and resolving complex customer inquiries. In this position, you will handle escalated customer issues, provide high-quality service support in a fast-paced call center environment. Your assistance will make a positive difference in the organization you support. You will be able to provide successful administration and resolve inquiries and deliver positive customer experience while meeting performance goals.

Key Responsibilities:

• Using a computerized system, responds to South Carolina Medicaid member inquiries in a call center environment using standard scripts and procedures.
• Gathers information, assesses caller needs, researches, and resolves inquiries, and document calls.
• Provides clear and concise information regarding member eligibility, along with assisting callers with completing their Medicaid applications and providing updates on their application status.
• Follows documented policies and procedures including call handling and escalations.
• Overall acts as an advocate for Medicaid members to ensure their needs are met.
• Navigate across multiple computer screens while accessing and reviewing information from various applications.
• Utilizes 5 systems to gather information and document up to 3 systems

Required Qualifications:

• Must be 18 years of age or older.
• Have a High School Diploma or an equivalent of education required.
• Must be able to submit to a pre-employment screening.
• Have legal authorization to work permanently in the United States without requiring a visa transfer or visa sponsorship.
• Customer service or call center experience preferred.
• Must pass the Call Center – Service Skills Assessment and Internet Speed test.
• A minimum of 1-year call center experience in telephone customer service or related experience.
• Computer literacy and ability to use multiple programs and navigate multiple screens.
• Comfortable working within established processes and procedures.

Preferred Qualifications:

• Strong customer service, communication, and problem-solving skills.
• Experience handling escalated customer concerns and complex issues.
• Positive and energetic attitude.
• Ability to communicate clearly and confidently.
• Ability to multi-task and manage time effectively.
• Proficiency in navigating multiple systems and maintaining accurate documentation.
• Attestation to detail, grammar, and spelling accuracy.
• One year of medical insurance or medical office experience, preferred.
• Computer system experience with data entry and database documentation knowledge.
• Previous call center or customer service experience.
• Experience handling inbound customer support calls.
• Bilingual skills in English/Spanish preferred.

What We Offer:

• Pay Rate is $17.50 per hour(Bi-weekly pay), which may be your state’s minimum wage. Please take this into consideration when applying.
• Benefits from day one (medical, dental, vision) for eligible roles.
• PerkSpot – Employee discount program.
• Paid time off and holidays.
• Paid training.
• Equipment provided.
• Career growth and advancement opportunities.
• Supportive and inclusive work environment.
• No weekend.
• Training is 4 weeks (8:30 am - 5:00 pm EST) After training the working hours will be an 8-hour shift in the hours of operation.
• Full time schedule (40 hrs. per week)

We are currently NOT hiring in the following geographies, including but not limited to:

States: AK, CA, HI, MA, IL, MT, NY, & Puerto Rico

Metro Areas: MN - Minneapolis, IL - Chicago, NY - New York City, OR - Portland, MD - Montgomery County, WA - Seatle, Washington, DC

Pay Transparency:

Pay Transparency Laws in some locations require disclosure of compensation and/or benefits-related information. For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time. The estimated hourly rate for this role is $17.50 per hour, which may be below your state's minimum wage. Please take this into consideration when applying.

Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.