Customer Service Representative I

Your Career, Your Journey!

Thank you for exploring internal career opportunities at Centene and its family of companies. Your professional development is an integral part of the enterprise’s ongoing success. 

As you continue to find your purpose, we encourage you to use the tools and resources available on Centene University.

Work with your Leader

As you enter the application process, please work with your leader as it relates to your professional development plan.

Prior to an interview it is company policy that you notify your current leader.  Please refer to: CC. HUMR.13.

Growing your career and impacting the lives of our 26 million members go hand in hand as we continue to transform the health of the community one person at a time.

• Respond to telephone or written correspondence inquiries from members and/or providers within established timeframes utilizing current reference materials and available resources
• Provide assistance to members and/or providers regarding website registration and navigation
• Document all activities for quality and metrics reporting through the Customer Relationship Management (CRM) application
• Process written customer correspondence and provide the appropriate level of timely follow up
• May coordinate member transportation and make referrals to other departments as appropriate
• Maintain performance and quality standards based on established call center metrics including turn-around times

Foundation Care:
Ensure pharmacy orders and invoices are distributed appropriately to patients and physicians; input patient information into Customer Relationship Management application (CRM) and manage patient billing services
• Research and identify any processing inaccuracies in claim payments and route to the appropriate site operations team for claim adjustment
• Identify any trends related to incoming or outgoing calls that may provide policy or process improvements to support excellent customer service, quality improvement and call reduction

Position Purpose: Respond to customer inquiries via telephone and written correspondence in a timely and appropriate manner.

High school diploma or equivalent. Computer skills and ability to learn new systems. While previous customer service, call center, healthcare or insurance experience (and in some markets – bilingual skills) are preferred – they are not required. We will consider candidates who meet the education requirements and who share our passion for supporting the health and well-being of our communities.

For Foundation Care Only: Ability to complete Missouri Registered Pharmacy Tech application on 1st day of hire to obtain non-restricted Missouri Registered Pharmacy Tech within 30 days of hire or Active Missouri Registered Pharmacy Tech license.

Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Hiring Manager:

Sherie Vo'a (328533)

Job Grade:

I