Customer Services Rep 1, Health Net

2 weeks ago

Northridge, United States Regal Medical Group, Inc. Full time
Job Description

We are looking for CSR, Member Services to help our Health Net Concierge Lines to join our Member Services team in Northridge.

Under general supervision, respond to telephone inquiries from members, Health Plans, providers and employer groups to provide information and clarification relating to RMG services such as claims, referrals, and eligibility in resolving inquiries and more:

Essential Duties and Responsibilities include the following:

  • Receives incoming calls through phone queues involving multiple issues from Members and Health Plans.
  • Maintains or exceeds quality and productivity standards of a minimum of 65 calls per day with matching documentation.
  • Anticipates our customers/caller's needs: Understanding the wants and needs of customers, listening for cues and identifying how to respond and determining what level of intervention they may need.
  • Utilizes standardized processes, tools, Also resolves routine or complex issues relating to services provided by a provider within the medical group. This can include eligibility, referral status, process designated referrals, and provider availability and members claim related issues.
  • Maintain patient confidentiality so that HIPAA compliance is observed at all times.
  • Process member's demographic updates.
  • Ability to work independently in the resolution of telephonic issues.
  • Handles designated assignments and prioritize work in order to maintain workflow.
  • Performs fax functions as needed.
  • Ensures written and verbal communication with all levels of management, staff, vendors and property management or accurate and with good grammar.
  • Displays professionalism, warm and pleasant phone personality, emphasizing tact, empathy, good judgment and patience.
  • All additional duties as directed by management.

Education and/or Experience:

  • Minimum two (2) years of customer service and public relations experience in a medical setting.
  • High School Diploma or equivalent is required
  • Ability to deal responsibly with matters of a confidential nature.
  • Ability to multi-task and meet deadlines in a high stress environment
  • Must have excellent communication skills, both verbal and written.
  • Ability to read, write and understand the English language.
  • Pleasant telephone manner as well as telephone etiquette
  • The ability to distinguish the differences between CPT, HCPCS, Revenue, and ICD coding.
  • Proficient in MS Office programs (i.e., Word, Excel, Outlook, Access and Power Point).
  • Knowledge of computers, faxes, printers and all other office equipment.
  • Self-starter, willing to take on multiple tasks.
  • Must be able to review and interpret health plan benefits and provider contracts.
  • Able to interface with customers both internal and external of RMG.
  • Typing 45 WPM with accuracy.
  • Ability to communicate effectively orally and written answering and resolving a minimum of 65 calls per day with matching documentation.
  • Strong organizational skills with emphasis on prioritizing and attention to details.

The pay range for this position at commencement of employment is expected to be between $21-23 per hour; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, licensure, skills, and experience.

The total compensation package for this position may also include other elements, including a sign-on bonus and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered.

Details of participation in these benefit plans will be provided if an employee receives an offer of employment.

If hired, employee will be in an "at-will position" and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.

As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.

Full Time Position Benefits:

The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization, but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life.

Our dedication to our staff is evident in our comprehensive benefits package. We offer a very generous mixture of benefits, including many employer-paid options.

Health and Wellness:

  • Employer-paid comprehensive medical, pharmacy, and dental for employees
  • Vision insurance
  • Zero co-payments for employed physician office visits
  • Flexible Spending Account (FSA)
  • Employer-Paid Life Insurance
  • Employee Assistance Program (EAP)
  • Behavioral Health Services

Savings and Retirement:

  • 401k Retirement Savings Plan
  • Income Protection Insurance

Other Benefits:

  • Vacation Time
  • Company celebrations
  • Employee Assistance Program
  • Employee Referral Bonus
  • Tuition Reimbursement
  • License Renewal CEU Cost Reimbursement Program
  • Business-casual working environment
  • Sick days
  • Paid holidays
  • Mileage

Employer will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the LA City Fair Chance Initiative for Hiring Ordinance.

Requirements

Education and/or Experience:

  • Minimum two (2) years of customer service and public relations experience in a medical setting.
  • High School Diploma or equivalent is required
  • Ability to deal responsibly with matters of a confidential nature.
  • Ability to multi-task and meet deadlines in a high stress environment
  • Must have excellent communication skills, both verbal and written.
  • Ability to read, write and understand the English language.
  • Pleasant telephone manner as well as telephone etiquette
  • The ability to distinguish the differences between CPT, HCPCS, Revenue, and ICD coding.
  • Proficient in MS Office programs (i.e., Word, Excel, Outlook, Access and Power Point).
  • Knowledge of computers, faxes, printers and all other office equipment.
  • Self-starter, willing to take on multiple tasks.
  • Must be able to review and interpret health plan benefits and provider contracts.
  • Able to interface with customers both internal and external of RMG.
  • Typing 45 WPM with accuracy.
  • Ability to communicate effectively orally and written answering and resolving a minimum of 65 calls per day with matching documentation.
  • Strong organizational skills with emphasis on prioritizing and attention to details.

  • Customer Service Rep

    2 months ago

    Northridge, United States ResourceMFG Full time

    summary Do you have great Customer Service skills, and have experience in Aerospace Industry? Our Facility in the city of Lynwood is searching for YOU! Essential Functions: Review the MRP system with CS counterpart to ensure customer order due dates are in line with required delivery dates. Assist PM with New Product Introduction in coordination with Quality...

  • Customer Support Associate

    7 days ago

    Northridge, California, United States Domino's Pizza LLC Full time

    At Domino's, we offer a competitive salary of $12.50 per hour as a Customer Service Rep. This role is perfect for individuals who enjoy working in a fast-paced environment and providing exceptional customer service. As a Customer Service Rep, you will be responsible for greeting customers and ensuring they have a positive experience. You will work with...

  • Customer Service Rep

    2 weeks ago

    Northridge, United States Regal Medical Group, Inc. Full time

    Job DescriptionPosition Summary:The Customer Service Representative responds to telephone inquiries from Health Plans, and Providers/Billing offices to provide information and clarification relating to RMG services such as claims, and eligibility in resolving inquiries.Essential Duties and Responsibilities include the following:Receives incoming calls...

  • Customer Service

    2 weeks ago

    Northridge, United States Regal Medical Group, Inc. Full time

    Job DescriptionEssential Duties and Responsibilities include the following:Patient collections:The CSCR must be able to demonstrate the ability to accurately and consistently request and post credit card payments for patient accounts during phone contact with patients/callers who have outstanding balances via both incoming and outgoing calls. Must meet or...

  • Medical Office Rep

    4 weeks ago

    Northridge, United States Dignity Health Full time

    Overview Dignity Health Medical Foundation established in 1993 is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of Dignity Health - one of the largest health systems in the nation - with hospitals and care centers in California Arizona and Nevada. Today Dignity...

  • Mental Health Technician Emergency Services

    2 months ago

    Northridge, United States Dignity Health Full time

    **Overview** Founded in 1955 Dignity Health - Northridge Hospital Medical Center is a 394-bed acute care nonprofit community hospital located in Northridge California. The hospital offers a full complement of award winning services including the Leavey Cancer Center a cardiovascular center stroke center the Center for Assault Treatment Services a pediatric...

  • Customer Service Representative

    2 weeks ago

    Northridge, United States 24 Seven Full time

    A growing women's apparel brand is seeking a Customer Service Representative to join our dynamic team. The ideal candidate will have exceptional communication skills and a customer-first mindset, with experience managing high volumes of inquiries in a fast-paced environment. Location: Northridge, CA (Onsite, 5 days a week) Schedule: Monday-Friday, 8:00 AM -...

  • Customer Service Representative

    1 week ago

    Northridge, California, United States ResourceMFG Full time

    OverviewResourceMFG, a leader in logistics, is seeking reliable individuals to join our team as Customer Service Representatives. We value reliability and strong work ethic, offering competitive weekly pay, benefits, and a great company culture.Job DescriptionWe require our customers to provide a safe and clean work environment, an employee-focused...

  • Customer Service Associate

    1 week ago

    Northridge, California, United States ResourceMFG Full time

    About ResourceMFG: We are a leading provider of resource solutions, dedicated to delivering exceptional customer experiences. Our team is passionate about exceeding expectations and providing outstanding support.">Job Summary: We are seeking a highly motivated Customer Service Representative to join our team. As a key member of our sales floor team, you will...

  • Customer Service Specialist

    7 days ago

    Northridge, California, United States Burlington Full time

    **Required Skills and Qualifications**To be successful in this role, you must possess the following skills and qualifications:1+ years of experience in customer service, hospitality, retail, AP/LP, or OperationsAbility to stand and walk for extended periods of time and to visually monitor the store environmentAbility to maintain confidentiality and review,...

  • Customer Service

    2 months ago

    Northridge, United States ResourceMFG Full time

    summary Customer Service Representative 8a-5p or 10a-7p $15-20 based on experience Must present a strong resume with relevant experience. Meat knowledge is a plus In person interview required You will be greeting and assisting customers from moment they walk in the door, may also need help loading items. Associate should be friendly since needing to greet...

  • Customer Service Representative

    1 week ago

    Northridge, California, United States CVS Health Full time

    About CVS HealthAt CVS Health, we're shaping the future of healthcare for people, businesses, and communities. Our purpose is to bring our heart to every moment of your health.

  • Customer Service Representative

    4 weeks ago

    Northridge, United States TEKsystems Full time

    Regal Medical – Lakeside Community HealthcareWebsite: https://www.regalmed.com/Job Title: Phone Agent Pay Rate: Starts at $21/hr Hours: Monday through Friday, 8:00 AM-5:30 PMAddress: (100% On-Site Position) Northridge, CAJob Duties:• Receives incoming calls through phone queues involving multiple issues from Members and Health Plans.• Maintains or...

  • Facilities - Health and Safety Analyst 1

    2 weeks ago

    Northridge, United States 22nd Century Technologies Full time

    Title: Facilities - Health and Safety Analyst 1 Location: Northridge, CA Duration: 6 months contract Pay Rate: $22.78/hr on W2 Shift Timing (Day/ Evening/ Night): DayJob Description: Are you an experienced Environmental Health and Safety Analyst who is looking for your next amazing opportunity? If so, *** Defense Systems in Northridge, CA may be the employer...

  • Customer Service Associate

    7 days ago

    Northridge, California, United States Torrid Full time

    Career OpportunityAbout Us:Torrid is a fashion retailer seeking a Customer Service Associate to join our team at the Northridge Fashion Center. Our ideal candidate will provide exceptional customer service, maintain visual standards, and operate the register efficiently to drive sales and promotions.Responsibilities:Provide top-notch customer service to...

  • Customer Service Manager

    3 weeks ago

    Northridge, California, United States Dave & Buster Full time

    We are seeking a highly skilled Customer Service Manager to join our team at Dave & Buster's. As a key member of our service staff, you will be responsible for ensuring that our guests have an exceptional experience from the moment they walk in the door.Job OverviewThe Customer Service Manager is responsible for delivering unparalleled guest experiences...

  • Customer Service Specialist

    7 days ago

    Northridge, California, United States Zumiez Full time

    Zumiez is seeking a highly motivated Part-Time Retail Associate to join our team in Tampa. As a Sales Associate, you will contribute to the success of our retail operations by delivering exceptional customer service and merchandise presentation.Your key duties will include:Using Zumiez sales techniques to enhance the customer experienceEffectively presenting...

  • Customer Service Ambassador

    3 weeks ago

    Northridge, California, United States Americannmade Full time

    OverviewAt Americannmade, we are committed to providing an exceptional customer experience. As a Retail Support at our store, you will play a critical role in achieving this goal by promoting sales growth, ensuring tasks are completed, and contributing to a vibrant culture based on customer trust, respect, integrity, continuous learning, and fun.Job...

  • Home Health Orthopedic Nurse Specialist

    3 weeks ago

    Northridge, California, United States GrandCare Health Services Full time

    Job OverviewWe are seeking experienced Registered Nurses with a passion for delivering high-quality patient care in a home health setting. GrandCare Health Services offers a unique opportunity to specialize in orthopedic rehabilitation and make a meaningful impact in the lives of our patients.

  • Customer Service Specialist

    1 week ago

    Northridge, California, United States Forever 21 Full time

    **About the Role**We are looking for a skilled and enthusiastic Sales Associate to join our team. As a Sales Associate, you will be responsible for providing outstanding customer service, promoting our products, and achieving sales goals.**Key Responsibilities**Engage with customers, building rapport and providing personalized support.Effectively communicate...