Customer Service Rep
Job Responsibilities:
- Process specialized Medicaid eligibility cases with a high degree of accuracy.
- Research and process appeals as assigned by supervisors.
- Serve as a Subject Matter Expert (SME) on eligibility policies and processes.
- Create and maintain work plan documentation.
- Track project status and due dates.
- Collaborate with project managers on various initiatives.
- Support training teams by assisting new hires during sandbox and transition periods.
- Ensure compliance with program policies and procedures.
Skills:
- Medicaid eligibility and enrollment knowledge
- Case management
- Appeals processing
- Microsoft Office (Word, Excel, Outlook)
- Basic computer navigation
- Research and analytical skills
- Strong communication and organizational skills
- English proficiency required
- Bilingual (English/Spanish) preferred for bilingual positions
Education/Experience:
- High School Diploma or GED required.
- Associate Degree preferred.
- Minimum 4+ years of relevant professional experience required, or an equivalent combination of education and experience.
- Candidates with an Associate Degree and 2+ years of relevant experience are preferred.
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