Call Center Representative – Medicaid Member ; Bilingual English​/Spanish

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

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.
• Perk Spot – 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 York City, OR – Portland, MD – Montgomery County, WA – Seatle, Washington, DC

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.