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Bilingual Customer Service Representative/ Call Center
1 month ago
Title: Bilingual Customer Service Representative/ Call Center
Duration: 6 months
Location: Orange CA 92868
ONSITE
Responsibilities :
- 95% - Program Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity, and accountability.
- 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.
- Serves as a senior resource for other team members (i.e., solves complex challenges, answers uncommon questions and shares complex processes and procedures).
- Supports in the coordination of member’s health care and social service needs both within and outside the medical group.
- Enters accurate and complete documentation into internal application systems regarding all concerns and/or inquiries from the member and provider interaction.
- Initiates referrals to both internal and external care management departments and other department/government or community agencies.
- 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. Provides additional follow-up assistance as needed.
- Participates in a mission driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
- 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.
- Serves as a senior resource for other team members (i.e., solves complex challenges, answers uncommon questions and shares complex processes and procedures).
- Supports in the coordination of member’s health care and social service needs both within and outside the medical group.
- Enters accurate and complete documentation into internal application systems regarding all concerns and/or inquiries from the member and provider interaction.
- Initiates referrals to both internal and external care management departments and other department/government or community agencies.
- 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. Provides additional follow-up assistance as needed.
- 5% - Completes other projects and duties as assigned.
Minimum Qualifications :
- High School diploma or equivalent required.
- 2 years of experience in customer/member service, including 1 year of call center capacity required.
- A typing speed of 35 words per minute (WPM) is 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.
- Bilingual in English and in one of the client's defined threshold languages (Arabic, Chinese, Farsi, Korean, Spanish, Vietnamese) required.
Preferred Qualifications :
- 1 year of Health Maintenance Organization (HMO), Medi-Cal/Medicaid and health services experience.
Note
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.