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Customer Service Representative
2 months ago
Hourly Rate: $23.00 - $31.05/hr
Offer will be made by the client based upon experience within this pay range
Full office; Monday- Friday
Training Schedule: 8:30am-5:30pm (1-hour lunch)
Post Training Schedule: 9am-5:30pm (30-minute lunch)
***Attendance is crucial for the first 6 weeks***Job Summary
One of our most prestigous healthcare clients is seeking a highly motivated an experienced TEMP - Customer Service Representative (20) to join their team. The Customer Service Representative (CSR) will be the first line of contact for 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 eligible members and providers.
Duties & 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.
Minimum Qualifications:
High School diploma or equivalent required.
6 months of experience in a call center capacity required.
Typing speed of 35 words per minute (WPM) required.
An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.
Preferred Qualifications:
6 months of Medical/Medicaid or health services experience.
Required Licensure / Certifications: N/A
Knowledge & Abilities:
Develop rapport and establish and maintain effective working relationships with 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.
Physical Requirements (With or Without Accommodations):
Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds
Job Types: Full-time, Contract, Temporary
Pay: $23.00 - $31.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Flexible schedule
- Health insurance
- Paid time off
- Vision insurance
Experience level:
- 1 year
Shift:
- 8 hour shift
Weekly day range:
- Monday to Friday
Work setting:
- Call center
- In-person
Experience:
- Customer service: 1 year (Required)
- Call center: 1 year (Required)
Work Location: In person
