Customer Service Representative

Job Title: Customer Service Representative

Location: Florida, Remote

Job Overview:

We are seeking a customer service professional responsible for handling claims and eligibility-related inquiries from providers participating in the Florida Medicaid program. The role involves conducting independent research using Medicaid policies, internal resources, and the Medicaid website to ensure accurate and efficient support.

Key Responsibilities:

Handle approximately 40–50 inbound calls daily from Florida Medicaid providers and beneficiaries while delivering high-quality customer service.
Address and resolve billing and eligibility inquiries , ensuring proper follow-up when required.
Maintain accurate and detailed call logs and case references for tracking and resolution purposes.
Conduct research using available reference materials to provide accurate information and guidance.
Perform follow-ups, callbacks, and closure of call references to ensure complete resolution.
Escalate complex or non-routine inquiries to supervisors when necessary.
Provide additional support by educating providers about available web service tools and resources.
Assist in training and supporting new hires and team members.

Required Qualifications:

Minimum 2+ years of customer service experience (phone-based or face-to-face).
Strong attention to detail with excellent organizational skills.
Reliable, punctual, and professional work ethic.
Strong typing, computer proficiency, and documentation skills.
Excellent verbal communication and customer service abilities.
Minimum High School Diploma or GED required.
Prior experience in a professional customer service environment preferred.

Work Schedule: