Healthcare Call Center Specialist — Medicaid Support

Driscoll Children's Hospital; Corpus Christi (TX); On-site; USD 21,000 - 26,000; Full time

Benefits offered by this job

Sign-on bonus

Job summary

Driscoll Health Plan is seeking a friendly Call Center Customer Service Representative to assist members and healthcare providers with questions about benefits, eligibility, claims, and authorizations. This on-site role requires excellent communication, patience, and problem-solving in a fast-paced environment.

The position offers a $3,500 sign-on bonus and a Monday–Friday schedule with standard business hours. Prior health plan or Medicaid terminology knowledge is a plus.

Qualifications

• High school diploma or equivalent required.
• Minimum of 6 months of experience in a call center or healthcare-related field required.
• Strong customer service skills with excellent telephone etiquette and professionalism.
• Excellent verbal and written communication skills.
• Ability to type at least 35 words per minute.
• Strong attention to detail, organizational skills, and problem-solving abilities.
• Ability to multitask and navigate multiple computer applications while assisting callers.
• Comfortable working in a fast-paced, high-volume call center environment.
• Proficiency in Microsoft Office applications, including Outlook, Word, and Teams.
• Previous experience with Medicaid, health insurance, managed care, or medical terminology preferred.
• Familiarity with call center performance metrics and goals preferred.

Responsibilities

• Meet established call center performance expectations, including spending approximately 90% of scheduled time handling phone calls.
• 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, scheduling appointments, and navigating the Driscoll Health Plan website.
• Handle sensitive or complex situations with patience, professionalism, and empathy.
• Collaborate with internal departments to resolve issues and elevate concerns when necessary.
• Maintain confidentiality and comply with HIPAA regulations, organizational policies, and regulatory requirements.

Skills

Customer service skills

Verbal communication

Written communication

Typing 35 WPM

Attention to detail

Organizational skills

Problem-solving abilities

Multitasking

Navigate multiple computer apps

Fast-paced call center

Medicaid/healthcare terminology (pref)

Call center metrics awareness

Education

High school diploma or equivalent

Tools

Microsoft Office (Outlook, Word, Teams)

Job description

Driscoll Health Plan is seeking a friendly Call Center Customer Service Representative to assist members and healthcare providers with questions about benefits, eligibility, claims, and authorizations. This on-site role requires excellent communication, patience, and problem-solving in a fast-paced environment.

The position offers a $3,500 sign-on bonus and a Monday–Friday schedule with standard business hours. Prior health plan or Medicaid terminology knowledge is a plus.