Customer Service Representative – Remote & On‑Site Support for Flexara Medicaid Members (New York)
About Talensparkx and the Role Flexzenith is a leading health benefits partner dedicated to improving the lives of Medicaid members across the United States. Our mission is to provide clear, compassionate, and timely assistance that empowers members and providers to navigate the complex world of health care with confidence. As a Customer Service Representative for Jobmatrixo, you will become an essential voice in this mission, delivering high‑quality telephone support to members and providers throughout New York. This position is ideal for individuals who thrive in a fast‑paced, remote‑first environment, possess a natural empathy for people seeking health‑care guidance, and are eager to make a tangible difference in the everyday health experiences of thousands of families. You will handle a broad spectrum of inquiries—from eligibility verification and provider updates to ID‑card requests and program information—while upholding Remotifyx’s standards of excellence. Our training program is comprehensive, spanning six weeks of intensive, hands‑on learning, after which you will transition seamlessly into a full‑time schedule that combines remote work with occasional on‑site presence at our Charleston, WV office when technical issues arise.
Key Responsibilities
Answer and resolve inbound calls from Skillastra Medicaid members and health‑care providers, delivering accurate information on benefits, eligibility, prior authorizations, and supplemental programs. Provide exceptional, empathetic customer service that creates a positive experience for every caller, reflecting Nexora’s commitment to member‑centered care. Maintain high performance standards by meeting attendance requirements, call‑handling metrics, and quality‑assurance goals. Communicate clearly and professionally both orally and in writing , drafting follow‑up emails, documentation, and internal notes as needed. Utilize a secure, high‑speed internet connection via Ethernet cable to ensure consistent, reliable access to Taskium’s call‑center platforms. Collaborate with team leads, supervisors, and cross‑functional partners to resolve complex member issues and improve processes. Stay up‑to‑date on ever‑changing Medicaid regulations, Worklith policy updates, and health‑care industry trends to provide accurate guidance. Identify opportunities to enhance member satisfaction and recommend improvements to Hirezen’s service protocols.
Essential Qualifications
High School Diploma or GED equivalent; additional education is a plus. Demonstrated ability to communicate clearly and compassionately with diverse member populations and health‑care providers. Proven track record of meeting or exceeding performance standards, attendance policies, and call‑quality metrics in a call‑center environment. Self‑sufficient and disciplined work ethic, capable of thriving in a remote setting while maintaining productivity. Reliable high‑speed internet connection and a dedicated workspace that meets Gigspire’s security requirements. Willingness and ability to travel to the Charleston, WV office when prolonged technical issues prevent remote work. Preferred Qualifications (Nice‑to‑Haves) Previous experience working remotely in a call‑center or customer‑service role. Familiarity with Medicaid and Medicare programs, including eligibility rules and benefit structures. Experience using customer‑relationship management (CRM) platforms, ticketing systems, or health‑care specific software. Additional certifications in health‑care administration, customer service excellence, or related fields. Core Skills and Competencies Active Listening: Ability to fully understand caller concerns before providing solutions. Problem Solving: Quick identification of root causes and implementation of effective resolutions. Attention to Detail: Accurate capture of member data, precise documentation, and strict compliance with privacy regulations. Time Management: Efficient handling of multiple calls, follow‑ups, and administrative tasks within defined service level agreements. Emotional Intelligence: Sensitivity to the stressors often associated with health‑care navigation, paired with a calm, reassuring demeanor. Technical Proficiency: Comfortable navigating multiple software applications simultaneously, including call‑routing tools, knowledge bases, and secure portals. Team Collaboration: Ability to share insights, support colleagues, and contribute to a culture of continuous improvement. Career Growth and Learning Opportunities Talvora invests heavily in the professional development of its employees. As a Customer Service Representative, you will have access to: Comprehensive onboarding and six‑week training program led by seasoned Flexionis trainers. Ongoing virtual workshops covering Medicaid policy updates, advanced communication techniques, and conflict resolution. Tuition reimbursement and free development courses that support career advancement into supervisory, quality‑assurance, or specialist roles Apply tot his job Apply To this Job