Customer Service Representative

iT Resource Solutions.net,inc; Raleigh (NC); Hybrid; USD 35,000 - 50,000; Full time

Job summary

A client-focused resource management firm in Raleigh, NC is seeking a Customer Service Specialist II to provide exceptional service in a hybrid role. You will assist North Carolina Medicaid recipients and providers with claims and benefits inquiries while managing inbound calls. Candidates should have a High School Diploma/GED and 1+ years of customer service experience. This position offers a structured training program transitioning to a hybrid schedule, requiring 3 days in the office per week.

Qualifications

• 1+ years of related experience in customer service.
• Ability to manage and support inquiries related to claims.
• Willingness to work in a hybrid environment.

Responsibilities

• Handle inbound calls regarding Medicaid claims and eligibility.
• Support North Carolina Medicaid recipients and providers.
• Assist customers with inquiries related to benefits and claims.

Skills

Customer service expertise

Good communication skills

People skills

Education

High School Diploma/GED

Job description

As a Customer Service Specialist II, the work you’ll do with the client will be impactful to the mission of North Carolina Medicaid contact center. You will play a crucial role in providing world class customer service to our customer's.

Responsibilities

• This position focuses on inbound phone calls regarding claims, eligibility, prior approvals and updating PCP’s
• Lead/Manage/Support providing support to North Carolina Medicaid recipients and providers.
• Collaborate with North Carolina Medicaid recipients and providers to provide them with assistance to any inquires that they may have as it relates to benefits and claims via phone.
• Drive your contribution- you will contribute to the team with meeting our overall goal of providing world class customer service to our customers.
• Utilize good people skills, communication, and customer service skills will assist you daily while speaking with customers.

What You’ll Need to Succeed

Bring your customer service expertise along with a drive for innovation to the client. Customer Service Specialist II must have:

• Education: High School Diploma/GED
• Experience: 1+ years of related experience
• Role requirements: this is a hybrid position, with 3 days a week in office

Training Schedule

• In-person training is 2 weeks.
• Nesting is 1 month.
• Nesting will be onsite from Tuesday - Thursday; Remote work will be on Monday and Friday.
• Role will transition to hybrid remote after nesting, consisting of in office 3 days a week.
• Permanent schedule will either be 8:00 AM – 4:30 PM or 8:30 AM – 5:00 PM, Monday through Friday. The site is closed on weekends and on observed holidays.
• Training Hours: First day of training will be 8:30 am-5 pm EST and all remaining training days will be 8:00am – 4:30pm Monday - Friday, with a 30-minute lunch