Call Center Representative - Tucker, GA

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: $1.00 per hour

Ability to commute/relocate:

• Tucker, GA: Reliably commute or planning to relocate before starting work (Required)

Education:

• High school or equivalent (Required)