Customer Service Representative

We are looking for a dynamic, compassionate, and dedicated Patient Service Representative to join our Customer Service Department. This position will help to contribute and ensure our patients receive equal and high-quality healthcare services within our community-based organization.

We prefer that you have at least 1 year of Medical related experience, with a strong preference towards those with call center or front office related roles. This position will take place in a call-center setting, and may require a volume of 50-100 calls per day. Customer service is crucial, so we value anyone with skills in communication, phone etiquette, and past experience in high-volume call environments.

Ideally, you are highly-organized, able to work in a team-oriented environment, be computer savvy, able to communicate clearly and have outstanding customer service.

What you will be doing:

• Primary point of contact for inquires, concerns or requests of information
• Answer calls in a high call volume environment
• Follow established guidelines to respond to members in an accurate, timely, professionals and culturally competent manner
• Handle member grievances, appeals and billing issues. Escalate when necessary
• Educate members and providers on eligibility
• Handle member and providers requests through e-mail, voicemail, fax, etc.
• Conduct member surveys as assigned
• Attend and participate in department meetings
• Perform other related duties as required or assigned

Qualifications:

• High school Diploma or GED (copy) required
• Must clear a Background screening to apply
• 1 year of medical experience required
• 1 year of customer service or call center experience strongly preferred
• Preferred experience with managed care plans, Medi-Cal and Medicare programs, and working with the underserved populations
• Knowledge of computer applications and performing data entry
• Excellent communication skills
• Maintain confidentiality
• Bilingual abilities are a plus!

Schedule:

• Monday - Friday: 8:30 AM - 5:00 PM
• No weekends!

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