[Remote] Medicaid Member Service Representative - Remote

Note: The job is a remote job and is open to candidates in USA. CEF Solutions Inc. is a Consulting Services and Business Process Outsourcing company specializing in BPO Operations. They are hiring Medicaid Member Service Representatives to handle inbound calls and provide exceptional customer service while working from home.

Responsibilities

• Handle a minimum of 50 calls per day, providing exceptional customer service to members, providers, and other stakeholders
• Assist with a variety of inquiries, concerns, requests, and complaints in a professional and tactful manner
• Educate members on plan procedures, benefits, and services, maintaining a calm and helpful demeanor even when dealing with complaints
• Maintain a "willing to assist" attitude and ensure consistent quality service throughout the workday
• Meet and exceed call center metrics, including call volume, quality scores, schedule adherence and NPS

Skills

• Minimum of one year of experience in healthcare or health plan settings
• Minimum of one year of customer service and/or call center experience
• High school diploma or equivalent
• Strong commitment to providing high-quality customer service on every call
• Proficiency with Windows platforms and MS Office Suite (Word, Excel)
• Ability to build and maintain positive and effective relationships with coworkers, clients, members, and providers, even while working remotely
• Excellent verbal and written communication skills
• A quiet, dedicated workspace at home with reliable internet connectivity
• Knowledge of or experience with Medicaid Managed Care

Company Overview