Medicaid Member Service Representative - Remote jobs in United States
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CEF Solutions Inc. · 1 week ago

Medicaid Member Service Representative - Remote

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.

Business DevelopmentConsultingOutsourcing

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

Qualification

Healthcare experienceCustomer service experienceMS Office SuiteMedicaid Managed CareVerbal communicationWritten communicationRelationship building

Required

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

Preferred

Knowledge of or experience with Medicaid Managed Care

Company

CEF Solutions Inc.

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CEF Solutions stands at the forefront of operational innovation, offering tailored Business Process Outsourcing (BPO) and Consulting services designed to elevate business processes and drive cost efficiency.

Funding

Current Stage
Late Stage
Company data provided by crunchbase