Medical Customer Service Representative
2 weeks ago
Title: TEMP - Customer Service Representative (Non-Bilingual)
Location: Orange County CA 92868
Duration: Contract
Description :
The client is seeking a highly motivated and experienced TEMP - Customer Service Representative (Non-Bilingual) to join our team. The Customer Service Representative (CSR) will be the first line of contact for The client’s Health’s members and providers. The incumbent will assist members and providers with questions and/or complaints related to the Medi-Cal programs for Orange County. The incumbent will provide information regarding eligibility, enrollment, benefits and services to The client’s Health’s eligible members and providers.
Responsibilities :
- 80% - Program Support
- Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
- Maintains departmental productivity and quality standards.
- Follows through on and completes all member and provider inquiries or requests during the original member and provider interaction.
- Serves as a resource for other team members.
- 15% - Administrative Support
- Assists the team in carrying out department responsibilities and collaborates with others to support short and long-term goals/priorities for the department.
- Addresses member and provider inquiries, questions and concerns in all areas including eligibility, enrollment, claims or authorization status, benefit interpretation and referrals/authorizations for medical care in-person or telephonically.
- Enters accurate and complete documentation into internal application systems regarding all concerns and/or inquiries from the member and provider interaction.
- Communicates, builds and maintains internal and external relationships by prompt and accurate service delivery.
- Identifies and communicates challenges that might arise with the use of professional judgment while adhering to departmental policies and procedures.
- 5% - Completes other projects and duties as assigned.
Knowledge & Abilities :
- Develop rapport and establish and maintain effective working relationships with The client’s Health's leadership and staff and external contacts at all levels and with diverse backgrounds.
- Work independently and exercise sound judgment.
- Communicate clearly and concisely, both orally and in writing.
- Work a flexible schedule; available to participate in evening and weekend events.
- Organize, be analytical, problem-solve and possess project management skills.
- Work in a fast-paced environment and in an efficient manner.
- Manage multiple projects and identify opportunities for internal and external collaboration.
- Motivate and lead multi-program teams and external committees/coalitions.
- Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.
This position offers the opportunity to work in a dynamic and supportive environment. Cogent Infotech is an equal-opportunity employer, fostering a diverse and inclusive workplace. We welcome applicants from all backgrounds and do not discriminate based on race, color, religion, national origin, age, sex, pregnancy, genetic information, sexual orientation, gender identity, military status, citizenship, or any other characteristic protected by applicable law.
Company DescriptionAt Cogent, we are dedicated to pushing the boundaries of our expertise to set new industry standards. Through continuous refinement of our processes and broadening our services to meet evolving needs across industries, we provide effective, future-forward and comprehensive solutions.Company DescriptionAt Cogent, we are dedicated to pushing the boundaries of our expertise to set new industry standards. Through continuous refinement of our processes and broadening our services to meet evolving needs across industries, we provide effective, future-forward and comprehensive solutions.-
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