Call Center Representative – Tucker, GA
Supports the business process services team in delivering efficient and effective outsourced processes and services within a specific industry and functional area to meet objectives and quality standards for clients. Demonstrates business knowledge and skills developed through formal job-related training or work experience. Works within established procedures with a moderate degree of supervision. Identifies issues and all contributing factors in straightforward situations, assesses each using standard procedures, and makes sound decisions.
Essential Job Functions
- The Help Desk Call Center Representative answering calls from members and providers related to Georgia Medicaid Responsibilities include, but are not limited to:
Call Center role (will be on the phone for this role)
- 1st Tier Help Desk Support
- Web Portal Assistance
- Claims Rejections
- File Rejections
- Participates productively as member of team, possibly in a team lead role.
- Completes complex tasks, assignments and defined processes with some level of independence.
- Multiple assignments worked and completed simultaneously as directed by leadership.
- Identifies, prioritizes and resolves most questions and issues independently. Answers questions of peers. Escalates more complex questions or issues appropriately.
- Complies with contract requirements, business unit rules and related industry and legal regulations
Knowledge and Skills:
- At least 2 years of Medicaid claims/policies and procedures knowledge preferred
- Experience resolving and following up on claims
- Strong Customer Service skills
- Strong Presentation skills
- Ability to work independently
- Office administrative experience and skills.
- Ability to follow written policies, procedures and guidelines, and give feedback to leadership.
- Intermediate-level knowledge of operating systems.
- Self-motivated with good time management and organizational skills.
- Ability to read and interpret basic to moderately complex documents such as operating and maintenance instructions, procedure manuals, and government/healthcare guidelines.
- Excellent written and verbal communication skills and customer service skills, including professional telephone skills.
Education and Experience:
- High School Diploma or equivalent; may hold 2 year post-high school Degree; may hold Bachelor’s degree.
- Typically, 2-4 years of working experience in related fields.
- Knowledge and Skills:
- Office administrative experience and skills.
- Ability to follow written policies, procedures and guidelines, and give feedback to leadership.
- Intermediate-level knowledge of operating systems.
- Self-motivated with good time management and organizational skills.
- Ability to read and interpret basic to moderately complex documents such as operating and maintenance instructions, procedure manuals, and government/healthcare guidelines.
- Excellent written and verbal communication skills and customer service skills, including professional telephone skills.
Job Type: Full-time
Pay: From $1.00 per hour
Ability to commute/relocate:
- Tucker, GA 30084: Reliably commute or planning to relocate before starting work (Required)
Education:
- High school or equivalent (Required)
Work Location:
Work Remotely:
- Temporarily due to COVID-19