Remote Call Center Associate – Medicaid

Conduent; United States; On-site; USD 23,000 - 26,000; Full time

Benefits offered by this job

Benefits from day one (medical, dental

Vision coverage)

Paid time off and holidays

Paid training

Career growth opportunities

Weekends off

Job summary

Conduent is hiring remote Call Center Associates for Medicaid in Virginia. You will handle inbound calls, resolve inquiries, and deliver high-quality service while meeting performance goals. Learn Medicaid benefits, eligibility, and claims while assisting recipients and providers.

The role requires a high school diploma, internet access, and bilingual Spanish language skills preferred. Full-time, with standard hours 8:30am–5:00pm EST, Monday–Friday, remote from Virginia.

Qualifications

• High school diploma or GED required.
• Background check and/or drug screening.
• High speed internet access and a quiet workspace.
• Bilingual skills (Spanish speaking preferred).
• Experience in Medicaid/Medicare or health insurance is a plus.

Responsibilities

• Respond to Virginia Medicaid member/provider inquiries in a call center using scripts.
• Gather information, assess caller needs, research and document calls.
• Explain eligibility, claim status and provider enrollment status clearly.
• Follow policies including call handling and escalations.
• Act as advocate for Medicaid recipients and providers to meet needs.
• Meet productivity, attendance, and performance metrics.
• Collaborate with team to improve customer satisfaction.
• Verify documents and complete required training.

Skills

Bilingual (Spanish)

Customer service

Communication skills

Call center experience

Education

High School Diploma or GED

Tools

MMIS knowledge

Data entry

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.

Job Title: Call Center Associate – Medicaid

Location: Remote – Virginia, US

Pay Rate: Bilingual $18.13 hr.

Employment Type: Full Time

Shift Information: 8:30am – 5:00pm est. Monday-Friday

Class starts early October

Job Summary: We’re hiring Remote Call Center Representatives for our Government Healthcare Solutions account in Richmond, VA to provide high-quality customer service support in a fast-paced call center environment. In this role, you will handle inbound customer calls, resolve inquiries, and deliver a positive customer experience while meeting performance goals. This is a great opportunity to learn Medicaid benefits, eligibility, and claims analysis to assist Medicaid recipients and healthcare providers.

Key Responsibilities:

• Using a computerized system, responds to Virginia Medicaid member and provider inquiries in a call center environment using standard scripts and procedures.
• Gathers information, assesses caller needs, research and resolves inquiries and documents calls
• Provides clear and concise information regarding eligibility, claim status and provider enrollment status
• Follows documented policies and procedures including call handling and escalations.
• Overall acts as an advocate for both Medicaid recipients and providers to ensure their needs are met
• Meet productivity, attendance, and performance metrics
• Collaborate with team members to improve customer satisfaction

Additional Duties as Assigned:

• Verify documents and images
• Complete required assigned training

Required Qualifications:

• High school diploma or GED required
• Background check and or Drug screening
• High Speed internet access and space to work away from noise and distractions
• Bilingual skills (Spanish speaking preferred)

Preferred Qualifications:

• Previous call center or customer service experience
• Previous experience with Medicaid, Medicare, or Health Insurance preferred
• Computer system experience with data entry and database documentation knowledge.
• Knowledge of Medicaid Management Information System (MMIS) is helpful
• Experience in handling inbound customer support calls
• Strong communication and customer service skills
• Ability to work in a fast-paced call center environment
• Basic computer skills and ability to navigate multiple systems
• Reliable attendance and strong work ethic

What We Offer:

• Full-time employment
• Competitive hourly pay
• Benefits from day one (medical, dental, vision) for eligible roles
• Paid time off and holidays
• Standard scheduled. 8:30am – 5pm EST Monday through Friday, Weekends OFF!!
• Paid training
• Great Work Environment with career growth and advancement opportunities
• Supportive and inclusive work environment

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 $18.13 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.