Medicaid Customer Support Specialist

2 weeks ago

Richmond, Virginia, United States Conduent State Healthcare, LLC Full time

At Conduent State Healthcare, LLC, we are committed to delivering essential services and solutions for a diverse range of clients, including Fortune 100 companies and numerous government entities. Our dedicated team members play a crucial role in achieving outstanding results for our clients and the millions of individuals who rely on our services.

Position: Medicaid Customer Support Specialist

Location: ONSITE in Richmond, VA

Compensation: $16.50/hr; $17.50/hr for Bilingual Candidates with Comprehensive Benefits

Training Class: Upcoming

If you are interested in assisting Medicaid recipients and the providers who serve them, this position offers a unique opportunity to gain knowledge in Medicaid benefits, eligibility, and claims analysis.

What We Offer:

  • Full-time employment with a comprehensive benefits package.
  • Starting hourly rate of $16.50/hour; $17.50/hour for bilingual candidates.
  • Standard working hours: 8:30 AM to 5 PM EST, Monday through Friday, with Weekends OFF.
  • Extensive training in Call Center operations and Customer Service.
  • A supportive work environment with opportunities for career advancement.

Successful Candidates Will Demonstrate:

  • A positive and energetic demeanor.
  • Clear and confident communication skills.
  • Strong multitasking abilities and effective time management.
  • Attention to detail, particularly in grammar and spelling.

Key Responsibilities:

  • Utilizing a computerized system to respond to inquiries from Virginia Medicaid members and providers in a call center setting, following established scripts and procedures.
  • Collecting information, assessing caller needs, researching and resolving inquiries, and documenting calls.
  • Providing accurate and concise information regarding eligibility, claim status, and provider enrollment.
  • Adhering to documented policies and procedures, including call handling and escalation protocols.
  • Acting as an advocate for both Medicaid recipients and providers to ensure their needs are addressed.

Additional Responsibilities:

  • Verifying documents and images as required.
  • Completing all assigned training modules.

Preferred Qualifications:

  • Experience with Medicaid, Medicare, or Health Insurance is preferred.
  • Familiarity with computerized systems for data entry and database documentation.
  • Previous experience in a call center or professional office environment.
  • Knowledge of the Medicaid Management Information System (MMIS) is advantageous.
  • Bilingual candidates, particularly Spanish speakers, are preferred.

Requirements:

  • Must be at least 18 years of age.
  • High school diploma or equivalent (GED) is required.
  • Eligibility to work in the United States is mandatory.
  • Ability to pass a background check and drug screening.

Conduent is an Equal Opportunity Employer, considering 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, military/veteran status, citizenship status, or any other group protected by law.

We prioritize the health and safety of our associates and their families. While vaccination is not a requirement for most positions, we do request that you provide your vaccination status where legally permissible, as this is a requirement of employment at Conduent.

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