Customer Service Representative Job at Robert Half in Troy

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:

• Handle inbound calls from members, providers, and caregivers regarding Texas Medicaid benefits, claims, authorizations, and provider details.
• Provide accurate information on STAR, CHIP, and HHCS services.
• Assist with pre-authorizations and explain coverage details.
• Document all interactions in the system with accuracy and professionalism.
• Resolve member concerns with empathy and efficiency.
• Stay current on Texas Medicaid updates and Dell Children’s policies.
• Maintain HIPAA compliance and patient confidentiality.

Qualifications:

✅ Required:

• Minimum 1 year of healthcare call center experience, preferably with Texas Medicaid.
• Must be a Texas resident.
• Familiarity with Texas Medicaid, STAR, CHIP, and HHCS.
• Strong understanding of medical terminology, CPT/HCPCS codes, and diagnosis codes.
• Excellent verbal and written communication skills.
• Ability to manage high call volumes and navigate stressful situations calmly.
• Proficient in computer systems and call tracking tools.

✅ Preferred:

• Associate’s Degree or equivalent healthcare-related education.
• Experience working with Dell Children’s or similar pediatric healthcare systems.
• Bilingual (English/Spanish) is a plus.

Work Environment:

• Remote-first role with occasional in-office meetings or training sessions.
• Standard business hours: 8 AM–5 PM CST, Monday through Friday.

Apply today to join a compassionate team making a difference in the lives of Texas families!

• 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.