Códice <Think: Web> - Washington, DC

posted 6 days ago

Full-time - Entry Level
Washington, DC

About the position

The Customer Service Representative role involves assisting enrollees in selecting the most appropriate Managed Care Organization (MCO) and Primary Care Provider (PCP) based on individual needs. This position requires providing information and education on programs and services, managing customer inquiries, and ensuring high-quality service delivery in a call center environment.

Responsibilities

  • Assist enrollees in selecting the most appropriate MCO and PCP based on individual needs and location.
  • Answer questions and provide information and education on programs and services.
  • Respond to requests and take actions on accounts or enrollment applications.
  • Follow standard procedures to ensure consistency, accuracy, and meet quality assurance requirements.
  • Facilitate conversations by soliciting needed information, clarifying responses, and addressing concerns.
  • Manage customer inquiries with consistency, accuracy, and professionalism, displaying excellent customer service skills.
  • Follow scripted dialogues to ensure quality and maintain high accuracy rates.
  • Maintain regular and predictable attendance.
  • Perform other duties as assigned.

Requirements

  • High school diploma or GED.
  • 2 years of customer service or call center experience.
  • Experience working with special needs populations and/or families of special needs children.
  • Experience or training in a health care related field.
  • Experience or training related to health care insurance, Medicaid, MCO/PCP selection, EPSDT services, and similar programs.
  • Experience or training in the managed care industry.
  • Computer skills and experience using a personal computer and software programs.

Nice-to-haves

  • Experience in the managed care industry.
  • Experience using a TTY machine.
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