Bilingual Medicaid Member Services Call Center Representative

At CVS Health, we are dedicated to providing exceptional care and services to our diverse community of Medicaid members. As a Bilingual Medicaid Member Services Call Center Representative, you will play a crucial role in ensuring our members receive the support and guidance they need to navigate their healthcare journey. We are seeking a compassionate and knowledgeable individual who is fluent in both English and Spanish, and has a strong understanding of the Medicaid program. If you are passionate about making a positive impact on the lives of others and have excellent communication skills, we encourage you to apply for this rewarding role.

1. Provide exceptional customer service to Medicaid members through inbound and outbound calls, ensuring their needs are met with empathy and professionalism.
2. Act as a knowledgeable resource for Medicaid program information, eligibility requirements, and available services.
3. Assist members with enrollment, plan selection, and understanding their benefits and coverage.
4. Address member inquiries, concerns, and complaints in a timely and efficient manner, escalating complex issues to the appropriate channels.
5. Maintain accurate and detailed records of member interactions and transactions in the call center system.
6. Collaborate with other departments and teams to resolve member issues and improve overall member experience.
7. Stay up to date with changes in Medicaid policies and procedures to provide accurate and timely information to members.
8. Utilize bilingual skills to effectively communicate with members who speak Spanish and English, ensuring their understanding and satisfaction.
9. Meet performance metrics and quality standards set by the company, including call volume, call quality, and customer satisfaction.
10. Participate in training and development opportunities to continuously improve knowledge and skills.
11. Adhere to all company and HIPAA regulations and policies to protect member confidentiality and privacy.
12. Contribute to a positive team environment by collaborating with colleagues and promoting teamwork.
13. Identify and report any potential issues or concerns that may impact member satisfaction or company operations.
14. Continuously strive to provide exceptional care and services to our diverse community of Medicaid members.

According to JobzMall, the average salary range for a Bilingual Medicaid Member Services Call Center Representative is $35,000 to $45,000 per year. However, this can vary depending on factors such as location, experience, and the specific company or organization. Some may also offer additional benefits such as health insurance and bonuses.

CVS Health Corp. engages in the provision of health care services. It operates trough the following segments: Pharmacy Services, Retail or Long Term Care, and Corporate. The Pharmacy Services segment offers pharmacy benefit management solutions. The Retail or Long Term Care segment includes selling of prescription drugs and assortment of general merchandise. The Corporate segment involves in providing management and administrative services.