About this role

Handle high-volume inbound calls from members, providers, and stakeholders
Resolve inquiries related to healthcare services, eligibility, and claims, escalating complex cases as needed
Accurately document interactions in systems while maintaining quality and compliance standards
Meet or exceed performance metrics, including call quality, productivity, and attendance
Collaborate with team members and leadership to improve processes and enhance the customer experience

2+ years of call center or customer service experience, preferably in a high-volume environment
Experience supporting Medicaid, healthcare, or claims-related inquiries
Strong verbal and written communication skills with a focus on professionalism and empathy
Ability to multitask, navigate multiple systems, and document while on live calls
Basic proficiency with Microsoft Office and computer systems

Call Center Representative – Healthcare

Key skills