
Call Center Customer Service Representative Member Support CSR
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Overview
Job Description
Call Center Customer Service Representative, Medicaid Member Support
Pay Rate: $17.00 per hourOpenings: 2Schedule: Monday through Friday, 8:00 AM to 5:00 PMWork Arrangement:Fully Onsite
Position Overview
We are seeking Call Center Customer Service Representatives to provide support to Medicaid members in a professional call center environment.
This is an excellent opportunity for candidates interested in gaining valuable experience in Medicaid member services, healthcare benefits, medical eligibility, and claims processes.
In this role, you will serve as an advocate for Medicaid members by answering questions, researching inquiries, providing accurate benefit and eligibility information, and helping ensure members receive the support they need.
Key Responsibilities
Respond to Montana Medicaid member inquiries in a call center environment using computerized systems, established scripts, and procedures.
Gather information from callers, assess their needs, research questions, and provide appropriate resolutions.
Document member interactions and call details accurately within designated systems.
Provide clear and concise information regarding:
Medicaid member eligibility status
Member benefits
Passport provider changes
General eligibility and claims-related inquiries
Follow established policies and procedures for call handling, documentation, and escalations.
Research member questions using multiple systems and available resources.
Maintain accurate and detailed records of member interactions.
Provide professional, courteous, and empathetic customer service.
Serve as an advocate for Medicaid members and work to ensure their needs and questions are appropriately addressed.
Required Skills
Positive, professional, and energetic attitude.
Ability to communicate clearly and confidently with callers.
Strong customer service and interpersonal skills.
Ability to multitask while navigating computer systems and communicating with members.
Effective time-management and organizational skills.
Strong attention to detail.
Accurate grammar, spelling, and written communication skills.
Comfortable working in a structured, high-volume call center environment.
Basic computer proficiency and ability to learn multiple systems.
Preferred Experience
One year of medical insurance or medical office experience.
Previous call center or professional office experience.
Experience with computerized systems, data entry, and database documentation.
Healthcare, insurance, Medicaid, member services, eligibility, or claims experience is a plus.
Ideal Candidate
The ideal candidate is a dependable, customer-focused professional who enjoys helping others and can communicate confidently while navigating multiple computer systems. Candidates with previous healthcare or insurance experience are preferred, however, this role also provides an excellent opportunity to develop experience with Medicaid member support, healthcare eligibility, benefits, and claims processes.
Important: This position is fully onsite and requires availability to work Monday through Friday from 8:00 AM to 5:00 PM.
Throughout the past 35+ years, MMC, one of the most trusted names in workforce management services, has successfully delivered strategic solutions to large and small businesses in numerous industries. We have built our reputation on partnering with our clients and candidates to achieve the desired results. Our recruiting professionals have extensive experience matching the right candidate, to the right client, for the right position. We provide the best opportunities to the most talented candidates in a multitude of industries. MMC is a privately owned business with corporate headquarters in Irving, Texas. With 2,000+ employees, working in 40+ states, MMC is able to support all United States locations, and some international locations. We appreciate your interest in reviewing this particular position and we encourage you to visit our website where you can always search and apply for opportunities at www.mmcgrp.comBenefits with MMC Group MMC offers health insurance plans for our active candidates on assignment, including:- Medical, dental, and vision coverage
- Life and disability insurance
- Additional voluntary benefits
Automate your job search with Sonara.
Submit 10x as many applications with less effort than one manual application.
