Customer Service Rep

sgs-job-5327

Customer Support
 Virginia
Eligibility Processing
Appeals Handling
Case Management
Medicaid Programs
Microsoft Office
Computer Navigation
Research
Project Tracking
Bilingual (English/Spanish Preferred)
Customer Support Category (mandatory): Customer Service

Contract - 6 Months

Location : Remote (State of Virginia) Seeking experienced Enrollment/Eligibility Counselors to support the Virginia Medicaid program by assisting clients with program enrollment, eligibility determination, appeals processing, and case management. This is a full-time remote contract position for candidates residing in Virginia.

Job Responsibilities:

  • Process specialized Medicaid eligibility cases with a high degree of accuracy.
  • Research and process appeals as assigned by supervisors.
  • Serve as a Subject Matter Expert (SME) on eligibility policies and processes.
  • Create and maintain work plan documentation.
  • Track project status and due dates.
  • Collaborate with project managers on various initiatives.
  • Support training teams by assisting new hires during sandbox and transition periods.
  • Ensure compliance with program policies and procedures.

Skills:

  • Medicaid eligibility and enrollment knowledge
  • Case management
  • Appeals processing
  • Microsoft Office (Word, Excel, Outlook)
  • Basic computer navigation
  • Research and analytical skills
  • Strong communication and organizational skills
  • English proficiency required
  • Bilingual (English/Spanish) preferred for bilingual positions

Education/Experience:

  • High School Diploma or GED required.
  • Associate Degree preferred.
  • Minimum 4+ years of relevant professional experience required, or an equivalent combination of education and experience.
  • Candidates with an Associate Degree and 2+ years of relevant experience are preferred.

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