Customer service agent handling calls for mobile clients, providing support and generating service offers. Role involves direct client interaction to ensure excellent service standards.
About the role
- Call Center Representative handling healthcare service inquiries for Rhode Island Medicaid members by providing accurate support. Responsibly addressing claims, billing, and eligibility inquiries in a hybrid work environment.
Responsibilities
- Answer 40–50 inbound calls daily from providers and Medicaid members, delivering clear, accurate, and empathetic assistance.
- Research and resolve eligibility, billing, and claim-related questions using available resources and Medicaid guidelines.
- Document all inquiries and outcomes within the system, ensuring timely follow-up and resolution.
- Support enrollment activities by processing updates, mailing provider correspondence, and assisting with quality control checks.
- Train and assist new team members to ensure consistent service delivery and knowledge sharing.
Requirements
- Two or more years of customer service experience, either face-to-face or by phone, preferably in a healthcare or call center setting.
- Strong communication and active listening skills with the ability to handle complex or sensitive inquiries.
- Detail-oriented, dependable, and capable of managing multiple tasks in a fast-paced environment.
- Proficient in computer systems and data entry with solid typing skills.
- Previous medical, insurance, or medical billing experience preferred but not required.
Benefits
- flexible vacation policy
- 401(k) employer match
- comprehensive health benefits
- educational assistance
- leadership and technical development academies
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