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

Conduent State Healthcare, LLC; Nebraska; Remote; USD 23,000 - 26,000; Full time

Benefits offered by this job

Benefits from day one

PerkSpot – Employee discount program

Paid time off and holidays

Paid training

Equipment provided

Career growth opportunities

No weekend

Job summary

Conduent State Healthcare, LLC is seeking a Call Center Representative for Medicaid Member Support (Bilingual English/Spanish). The role is remote across South Carolina, North Carolina and Georgia, with a 40-hour work week and a $17.50 hourly rate.

You will handle inquiries, assist with applications, and document across multiple systems to ensure high-quality customer service. You will work in a fast-paced environment, meet performance goals, and benefit from paid training and day-one benefits.

Qualifications

• Must be 18 years of age or older.
• High School Diploma or equivalent required.
• Pre-employment screening required.
• Authorized to work in the United States without sponsorship.
• Minimum 1 year of call center or related experience.
• Pass Call Center Service Skills Assessment and Internet Speed test.
• Computer literacy and ability to use multiple programs.
• Experience preferred in customer service or call center roles.

Responsibilities

• Respond to Medicaid member inquiries in a call center using scripts.
• Gather information, assess needs, research, resolve inquiries, and document calls.
• Explain member eligibility and assist with Medicaid applications and status updates.
• Follow documented policies including call handling and escalations.
• Advocate for Medicaid members to ensure needs are met.
• Navigate across multiple computer screens accessing information from several applications.
• Use 5 systems to gather information and document in up to 3 systems.

Skills

Bilingual English/Spanish

Customer service

Communication

Multitasking

Time management

Attention to detail

Computer literacy

Education

High School Diploma

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.

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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.

For US applicants: People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded:click here to access or download the form. Complete the form and then email it as an attachment to.You may alsoclick here to access Conduent's ADAAA Accommodation Policy.