Our client is hiring experienced Customer Service Representatives in a contract to hire capacity to support our Texas-based Call Center operations. This role focuses on assisting members enrolled in Texas Medicaid programs, including STAR, CHIP, and Home Health Care Services (HHCS). If you have 1+ years of healthcare call center experience and are passionate about helping families navigate their healthcare benefits and are a Texas resident, we want to hear from you! Key Responsibilities:<ul><li>Handle inbound calls from members, providers, and caregivers regarding Texas Medicaid benefits, claims, authorizations, and provider details.</li><li>Provide accurate information on STAR, CHIP, and HHCS services.</li><li>Assist with pre-authorizations and explain coverage details.</li><li>Document all interactions in the system with accuracy and professionalism.</li><li>Resolve member concerns with empathy and efficiency.</li><li>Stay current on Texas Medicaid updates and Dell Children’s policies.</li><li>Maintain HIPAA compliance and patient confidentiality.</li></ul> Qualifications:✅ Required:<ul><li>Minimum 1 year of healthcare call center experience, preferably with Texas Medicaid.</li><li>Must be a Texas resident.</li><li>Familiarity with Texas Medicaid, STAR, CHIP, and HHCS.</li><li>Strong understanding of medical terminology, CPT/HCPCS codes, and diagnosis codes.</li><li>Excellent verbal and written communication skills.</li><li>Ability to manage high call volumes and navigate stressful situations calmly.</li><li>Proficient in computer systems and call tracking tools.</li></ul>✅ Preferred:<ul><li>Associate’s Degree or equivalent healthcare-related education.</li><li>Experience working with Dell Children’s or similar pediatric healthcare systems.</li><li>Bilingual (English/Spanish) is a plus.</li></ul> Work Environment:<ul><li>Remote-first role with occasional in-office meetings or training sessions.</li><li>Standard business hours: 8 AM–5 PM CST, Monday through Friday.</li></ul> Apply today to join a compassionate team making a difference in the lives of Texas families! Would you like help creating a posting preview or uploading this to Indeed directly?

• Familiarity with medical terminology, diagnosis codes, and healthcare-related systems. • Previous experience in customer service, ideally within a healthcare or call center setting. • Proficient in computer applications, including Microsoft Outlook, with strong typing skills. • Exceptional verbal and written communication abilities. • Ability to manage challenging interactions with patience and professionalism. • Strong listening skills and attention to detail to ensure customer needs are met. • Availability to work flexible shifts, including evenings, weekends, and holidays. • Associate’s degree preferred; however, 1-3 years of healthcare customer service experience in a call center is acceptable.

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Troy, MI
remote
Contract / Temporary to Hire
18.00 - 18.00 USD / Hourly
Our client is hiring experienced Customer Service Representatives in a contract to hire capacity to support our Texas-based Call Center operations. This role focuses on assisting members enrolled in Texas Medicaid programs, including STAR, CHIP, and Home Health Care Services (HHCS). If you have 1+ years of healthcare call center experience and are passionate about helping families navigate their healthcare benefits and are a Texas resident, we want to hear from you! Key Responsibilities:<ul><li>Handle inbound calls from members, providers, and caregivers regarding Texas Medicaid benefits, claims, authorizations, and provider details.</li><li>Provide accurate information on STAR, CHIP, and HHCS services.</li><li>Assist with pre-authorizations and explain coverage details.</li><li>Document all interactions in the system with accuracy and professionalism.</li><li>Resolve member concerns with empathy and efficiency.</li><li>Stay current on Texas Medicaid updates and Dell Children’s policies.</li><li>Maintain HIPAA compliance and patient confidentiality.</li></ul> Qualifications:✅ Required:<ul><li>Minimum 1 year of healthcare call center experience, preferably with Texas Medicaid.</li><li>Must be a Texas resident.</li><li>Familiarity with Texas Medicaid, STAR, CHIP, and HHCS.</li><li>Strong understanding of medical terminology, CPT/HCPCS codes, and diagnosis codes.</li><li>Excellent verbal and written communication skills.</li><li>Ability to manage high call volumes and navigate stressful situations calmly.</li><li>Proficient in computer systems and call tracking tools.</li></ul>✅ Preferred:<ul><li>Associate’s Degree or equivalent healthcare-related education.</li><li>Experience working with Dell Children’s or similar pediatric healthcare systems.</li><li>Bilingual (English/Spanish) is a plus.</li></ul> Work Environment:<ul><li>Remote-first role with occasional in-office meetings or training sessions.</li><li>Standard business hours: 8 AM–5 PM CST, Monday through Friday.</li></ul> Apply today to join a compassionate team making a difference in the lives of Texas families! Would you like help creating a posting preview or uploading this to Indeed directly?
2025-09-18T14:48:50Z