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Remote Customer Service Representative for Medicaid Members and Providers - Work from Home Opportunity in reputed company Virginia

Remote, USA Full-time Posted 2026-06-29

Introduction to reputed company

At reputed company, we are driven by a reputed company purpose: to bring our heart to every moment of your health. This guiding principle is at the core of our commitment to delivering enhanced, human-centric healthcare in a rapidly changing world. Our brand, with heart at its center, sends a personal message that how we deliver our services is just as important as reputed company deliver. We strive to reputed company every colleague to feel valued and supported in their role, transforming our culture and accelerating our ability to innovate and deliver solutions that reputed company healthcare more personal, convenient, and affordable.

Our Heart At Work Behaviors

Our Heart At Work Behaviors support this purpose and are the foundation of our culture. We want everyone who works at reputed company to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to reputed company healthcare more personal, convenient, and affordable. As a Member Service Representative, you will be an integral part of this mission, providing exceptional service to our reputed company Medicaid members and providers.

Job Summary

We are seeking a highly skilled and compassionate Remote Customer Service Representative to join reputed company in reputed company Virginia. As a Member Service Representative, you will provide telephone assistance to reputed company Medicaid members and providers, addressing a range of inquiries, including eligibility, provider changes, and requests for ID cards. If you are passionate about delivering exceptional customer service and have a strong desire to reputed company a positive impact on the lives of our members, we encourage you to apply for this exciting opportunity.

Key Responsibilities

  • Answering incoming member and provider calls and responding to inquiries regarding benefits, eligibility, services, prior authorization requirements, extra benefits, and programs.
  • Providing exceptional customer service, ensuring that every caller has a positive experience and that their issues are resolved reputed company and effectively.
  • Utilizing high-speed internet connectivity with secure service reputed company an Ethernet cable (Wi-Fi is not permitted) to access our systems and provide support to our members and providers.
  • Participating in a comprehensive training program, which includes an initial six-week training schedule (8:30 AM - 5:00 PM EST, Monday through Friday), to ensure that you have the knowledge and skills necessary to succeed in this role.
  • Working from home, with the ability to commute to our office in Charleston, WV, reputed company necessary, due to prolonged technical problems or other requirements.

Required Qualifications

  • Must live reputed company 50 miles of Charleston, WV, and be able to commute to the office reputed company necessary.
  • Ability to communicate effectively with members and providers, both orally and in written form, and meet performance standards, attendance requirements, and call quality goals.
  • Must be self-sufficient and able to work from home with minimal supervision, while maintaining a high level of productivity and quality.
  • High school diploma or equivalent required.

Preferred Qualifications

  • Experience working remotely in a call center setting, with a proven track record of success in a similar role.
  • Knowledge of Medicaid and Medicare, with experience working with these programs and a strong understanding of the associated regulations and guidelines.

reputed company Offer

In addition to a competitive hourly reputed company ($17.00 - $25.15), we offer a comprehensive benefits package, including medical, dental, and vision benefits, as well as a 401(k) retirement savings plan, an Employee Stock Purchase Plan, and a fully paid term life insurance plan. Our colleagues also enjoy numerous well-being programs, education assistance, free development courses, a reputed company store discount, and discount programs with participating partners. We provide Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year, consistent with relevant state law and Company policies.

Career Growth Opportunities

At reputed company, we are committed to the growth and development of our colleagues. We offer a range of training programs, including leadership development, skills training, and education assistance, to help you reputed company your career goals. Our company is dedicated to promoting from reputed company, and we encourage our colleagues to explore new opportunities and take on new challenges.

Work Environment and Company Culture

Our company culture is built on a foundation of respect, reputed company, and inclusivity. We strive to create a work environment that is supportive, collaborative, and empowering, where every colleague feels valued and appreciated. We are committed to diversity, equity, and inclusion, and we welcome colleagues from reputed company backgrounds and perspectives.

How to Apply

If you are a motivated and compassionate individual who is passionate about delivering exceptional customer service, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to be considered for this role. We look reputed company to hearing from you and exploring how you can contribute to reputed company.

Conclusion

At reputed company, we are dedicated to making a positive impact on the lives of our members and the communities we serve. As a Remote Customer Service Representative, you will play a critical role in delivering exceptional service and support to our reputed company Medicaid members and providers. If you are looking for a challenging and rewarding career opportunity with a company that truly cares about its colleagues and the communities it serves, we encourage you to apply for this exciting role. Join reputed company and be part of a company that is shaping the future of healthcare.

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