Customer Service Rep

3 weeks ago


Pasadena, United States New Leaf Staffing, Inc. Full time
Position: Customer Service Rep - Bilingual Korean
Location: Pasadena
Temp to Perm Possibility
Schedule: Monday - Friday (9 am - 6 pm or 10 am - 7pm)

ESSENTIAL JOB FUNCTIONS:
  • Documents all communications involving beneficiary and provider contacts.
  • Answer incoming calls from our customers to include but not limited to members, providers, health plans, insurance brokers, and hospitals in accordance with HIPAA guidelines.
  • Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer system.
  • Advises management on issues and opportunities regarding workflows.
  • Coordinates complete resolution of service issues by interfacing with other departments including Eligibility, Benefits, Claims and any other departments internally.
  • Learns required measures of health information regulations.
  • Develops an understanding of the grievance and appeals process available to dissatisfied beneficiaries and providers.

EDUCATION/EXPERIENCE:
  • High school graduate or equivalent.
  • 1 year call center/customer service exp in a healthcare setting

SKILLS/KNOWLEDGE/ABILITY:
  • Excellent phone etiquette/skills
  • Bilingual Korean
  • Medical terminology
  • Ability to multitask and problem solve in a fast-paced work environment.

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