medicaid health plan specialist.

you will be the first point of contact for health plan members, providers, and group representatives, providing excellent customer service via telephone, and answering a wide range of inquiries about products, benefits, and provider networks. This role will utilize your problem-solving skills and technology to resolve both simple and complex issues, and to de-escalate emotionally charged situations while ensuring all interactions and decisions comply with departmental and regulatory requirements.
Starts: 8/24 or 8/31
All Equipment is provided
Pay is $21
Availaiblity needed is M-F 8am - 6pm CST

Responsibilities:
The Health Plan Specialist is responsible for providing exceptional customer service and assisting members with complex questions about benefits, billing, and enrollment.
100% inbound (telephonic) customer service. The Health Plan Specialist will take approximately 50-70 calls per day during the peak Open Enrollment season.
They will provide end-to-end resolution of all issues by maintaining ownership and retaining all documentation to ensure complete, accurate, and timely resolution.
Treat customers with respect and courtesy and always act with the customer in mind
Work efficiently by utilizing online tools and resources
Resolve customer issues with a high degree of accuracy and timely follow-up
Assist members in complex situations.

Working hours: 8:00 AM - 6:00 PM

Skills:
Customer Service experience in a Health Insurance related setting (highly preferred)

Education:
High School

Experience:
1-4 years

Qualifications:
Education: High School Diploma, GED or equivalent; equivalent work experience will be considered in lieu of educational requirement
2+ years of call center experience
Proficiency in MS Office applications, using multi-screen workstations, and using multiple applications simultaneously.
Excellent verbal and written communication skills
Able to deliver high quality service to Medica's members
Excellent prior attendance history
Critical-thinking skills, and a keen ability to show empathy, problem solve, and explain complex situations
The desire to advance their careers and grow with an organization
Ability to interact with the team and support each other in dealing with customer issues
Positive energy, tone, and attitude with a Focus on Member Experience


Remote Work Requirements:
*** All Candidates submitted must have hard-wired internet and the ability to be connect with an ethernet cable. This also requires Stable high-speed internet (not satellite, hotspot, or Wi-Fi) and a speed test will be required ***
All candidates/contractors must be able to maintain a professional work environment without distraction from family members, roommates, and/or pets
Being visibly on camera is required for all meetings and training
Must use all equipment provided to them including headset and 2 monitors.

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Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temp-to-perm or direct hire opportunities, no one works harder for you than Spherion.

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Spherion, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact Callcenter@spherion.com.

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Spherion offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).