Customer Service Representative

San Jose, CA 95119

Employment Type: Contract Job Category: Patient Services Representative Job Number: 60798 Pay Rate: 25

Job Description

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!

This position is fully on-site and not remote.


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