Back to the board

[Remote] Medicaid Member Service Representative - Remote

100% remote Flexible hours Hiring now

Note: The job is a remote job and is open to candidates in USA. CEF Solutions Inc. is a Consulting Services and Business Process Outsourcing company specializing in BPO Operations. They are hiring Medicaid Member Service Representatives to handle inbound calls and provide exceptional customer service while working from home.

Responsibilities

  • Handle a minimum of 50 calls per day, providing exceptional customer service to members, providers, and other stakeholders
  • Assist with a variety of inquiries, concerns, requests, and complaints in a professional and tactful manner
  • Educate members on plan procedures, benefits, and services, maintaining a reputed company and helpful demeanor even reputed company dealing with complaints
  • Maintain a "willing to assist" attitude and ensure consistent quality service throughout the reputed company
  • Meet and exceed call center metrics, including call volume, quality scores, schedule adherence and NPS

Skills

  • Minimum of one year of experience in healthcare or health plan settings
  • Minimum of one year of customer service and/or call center experience
  • High school diploma or equivalent
  • Strong commitment to providing high-quality customer service on every call
  • Proficiency with Windows platforms and MS Office Suite (Word, reputed company)
  • Ability to build and maintain positive and effective relationships with coworkers, clients, members, and providers, even while working remotely
  • Excellent verbal and written communication skills
  • A quiet, dedicated workspace at home with reliable internet connectivity
  • Knowledge of or experience with Medicaid Managed Care

Company Overview

  • CEF Solutions stands at the forefront of operational innovation, offering tailored Business Process Outsourcing (BPO) and Consulting services designed to reputed company business processes and drive cost efficiency. It was founded in 2015, and is headquartered in Hackensack, New Jersey, USA, with a workforce of 1001-5000 employees. Its website is https://cem-lab.com.
  • Apply To This Job

    Keep exploring

    Mandarin Strategic Cuisines Inside Account Executive

    100% remote Flexible hours

    Account Executive

    100% remote Flexible hours

    [Remote] Associate, Trust and Safety

    100% remote Flexible hours

    [Remote] Bilingual Claims Service Representative, *Remote work* Full-Time, *reputed company in Canada* (Toronto, ON)

    100% remote Flexible hours

    2026 PhD Software Development Engineer Co-Op/Intern

    100% remote Flexible hours

    [Remote] Solution Network Software Engineer Intern

    100% remote Flexible hours

    Public Health Strategy, Policy, and Operations Expert

    100% remote Flexible hours

    [Remote] Digital Operations Coordinator

    100% remote Flexible hours

    Business Development Rep

    100% remote Flexible hours

    Circuit Design Engineer - New College Grad 2026

    100% remote Flexible hours

    Consultoría especializada para la Gestión Ambiental, Financiamiento Climático, Comunicación Estratégica y Articulación Interinstitucional, Educación,6 meses, La Paz, Bolivia, (Remoto, Solo nacionales)

    100% remote Flexible hours

    reputed company Virtual Customer Service/Sales Representative – Remote Opportunity at arenaflex

    100% remote Flexible hours

    Inside Sales Representative

    100% remote Flexible hours

    reputed company Remote Live Chat Agent – Delivering Exceptional Customer Service Experience

    100% remote Flexible hours

    Senior Medical Writer - FSP

    100% remote Flexible hours

    Remote Customer Support Representative – Multichannel Service Specialist for arenaflex’s Global Retail Operations

    100% remote Flexible hours

    Patient Advocacy Specialist I - Digitech - Remote

    100% remote Flexible hours

    Entry Level Restoration Technician

    100% remote Flexible hours

    reputed company (Part-Time) at reputed company Inc – The EliteJob In UAE

    100% remote Flexible hours

    Regional MDS Coordinator/Consultant

    100% remote Flexible hours