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At Fortuna, we are committed to fostering a diverse and inclusive workplace where every employee, including veterans, can thrive. Become part of a team where your talents are valued and your achievements are celebrated.
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As a Medicaid Customer Service Representative, you will respond to customer inquiries in a call center environment using a computerized system. The role requires you to gather information, assess customer needs, and provide support to Medicaid members or healthcare providers. You will act as an advocate for the clients, enrolling or un-enrolling them from services as needed, and educating them on their rights and benefits. This position demands a customer-focused approach and the ability to handle a fast-paced call center environment while providing excellent support to Medicaid members or providers.
WHAT YOU'LL DO:
- Respond to telephone inquiries and complaints using standard scripts and procedures.
- Gather information, assess customer needs, and research/resolve issues.
- Provide clear and concise updates regarding claims or Medicaid member status.
- Facilitate client enrollment and disenrollment with providers by phone or paperwork.
- Act as an advocate for Medicaid clients or healthcare providers.
- Educate clients on managed care access, rights, and benefits using outreach scripts.
- Monitor voicemail and fax communications and respond accordingly.
- Complete assigned training as required.
- Track daily tasks for quality review.
- Perform other duties as assigned.
WHAT YOU'LL BRING:
- At least one year of experience in medical insurance or a medical office setting is preferred.
- Outgoing, energetic attitude with excellent communication skills.
- Ability to multi-task and analyze new situations to solve problems effectively.
- Capability to remain calm under pressure and manage time efficiently.
- Strong attention to detail, grammar, and spelling accuracy.
- Ability to learn from both successes and mistakes and incorporate new technologies.
Fortuna operates as a staffing agency engaged in sourcing, screening, and presenting potential candidates for employment opportunities on behalf of our clients.
Fortuna was founded in 2012 by practicing professionals with more than 50 combined years of experience. Our headquarters is in McClellan, California with offices in Los Angeles and New York, and satellite offices in the Philippines and Israel. Fortuna is an active member of multiple California service agreements, including the CMAS, ITMSA Tier 2, CalPERS SpringFed Pool, as well as multiple municipalities and large corporation vendor pools www.gofortuna.com.
Why Choose Us?
- Collaborate with local community organizations, job placement agencies, and educational institutions to reach a broader pool of candidates.
- Actively participate in career fairs and job expos to connect with potential employees from diverse backgrounds.
- Establish a wide range of job positions across various departments to accommodate individuals from diverse backgrounds, including veterans, civilians, and those with unique skill sets. This approach ensures that everyone has the opportunity to find a role that aligns with their abilities and interests.
- Pair new hires, including veterans and civilians, with experienced mentors who can provide guidance, support, and insights during their transition into the organization. This mentorship fosters a sense of belonging and helps individuals navigate workplace dynamics.
- Identify skill gaps and provide training programs to help you acquire the necessary qualifications for their desired roles.
- Foster a workplace culture that actively recognizes and appreciates the unique experiences and contributions of all employees, including veterans.
Provide competitive salary and benefits packages that cater to the needs of all employees, including veterans. This should encompass:
- Health Insurance: Offer comprehensive health insurance plans that cover medical, dental, and vision care.
- Paid Time Off: Ensure generous paid time off policies that allow employees to recharge and attend to personal commitments.
- Implement a preferential hiring policy for veterans, giving them a competitive advantage during the application process.
- Offer guidance on translating military skills and experience into civilian job qualifications.
- Recognize outstanding veteran employees through awards and appreciation events.
- Highlight veteran success stories within the organization to inspire others.
Maximizing solutions through collaboration and partnerships.
- Certifications
