Medicare/Medicaid Customer Service Representative

Randstad Digital Americas is a world leader in matching great people with great companies, and they are seeking a Medicare/Medicaid Customer Service Representative. This role involves applying job skills and company policies to assist patients with their questions and concerns while accurately managing referrals and applications in a customer relationship management platform.

Responsibilities:

• Applies acquired job skills and company policies and procedures to complete assigned tasks
• Works on routine assignments that require basic problem resolution
• Refers to policies and past practices for guidance
• Receives general direction on standard work; receives detailed instruction on new assignments
• Consults with Supervisor or senior peers on complex and unusual problems
• Create and complete accurate referrals and applications into centralized customer relationship management platform while staying updated on policy or procedural changes
• Resolve patient's questions and concerns regarding patient journey status
• Enter detailed, accurate, and clear information into company proprietary software while conversing via telephone
• Place outbound phone calls for patient follow-ups or confirmations

Requirements:

• Ability to multitask, utilizing specific software programs while speaking with patients and/or healthcare staff
• Ability to type a minimum of 40 WPM
• Ability to transcribe (type) accurate notes while speaking to customer
• Microsoft Products experience required
• Ability to navigate video conferencing tools such as Microsoft Teams and Zoom
• Must have the ability to work via video conferencing as required by leadership
• Exceptional, professional verbal communication skills with friendly, empathetic, and patient centric focus
• Independent worker and self-starter with solid time management skills and ability to work with high volume production teams
• Continuous learner with a desire to move into a senior level role
• Solid work-ethic and driven to achieve daily/weekly metrics
• Strict adherence to company attendance policies
• Years of experience: 3 years
• Experience level: Experienced