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

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

Location: Remote-South Carolina (Must reside within a 60-mile radius of Columbia, SC)

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 Yo