Customer Solution Center Service Representative I
2 weeks ago
Customer Solution Center Service Representative I Job Category: Customer Service Department: Customer Solution Call Center Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 11488 Salary Range: $45,760.00 (Min.) - $47,823.00 (Mid.) - $55,818.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Customer Solution Center Service Representative I is responsible for a successful completion of the Member Services training program and continues to gain strong knowledge of Medi-Cal and Personal Assistance Services Council (PASC) managed care product lines. The Customer Solution Center Service Representative I handles first level calls involving member eligibility verification, general program and administration questions, benefits and services, member requests for I.D. cards and Primary Care Provider (PCP) changes, and triage of calls to appropriate units or outside entities. Duties Answers incoming first level calls from members, potential members, providers and advocates. Handles and resolves member issues, assists members in connecting with internal units or external parties such as Plan Partners, Primary Care Physician (PCP) offices, pharmacists, etc. Provides essential information to members regarding access to care issues, coordination of care issues, benefits, Evidence of Coverage (EOC), Member Handbook, etc. Assists providers in using the Interactive Voice Response (IVR) web portal and verifying member eligibility. Documents all calls via the member data base system, QMEIS. Ensures department compliance with Health Insurance Portability and Accountability Act (HIPAA) regulations relating to protection of personal history information. Troubleshoots and directs calls to the appropriate departments or outside entities. (75%) Supports robocall and ad-hoc member outreach activities as determined by business need. (15%) Perform other duties as assigned. (10%) Duties Continued Education Required High School Diploma/or High School Equivalency Certificate Education Preferred Experience Required: At least 6 months of customer service call center experience. Data entry experience with ability to type a minimum of 40 words per minute. Preferred: Managed care or health plan experience. Skills Required: Ability to answer a high volume of calls. Knowledge of medical terminology. Must be a strong team player, punctual, and has excellent attendance record. Good understanding of service to the disadvantaged population, seniors and or people with chronic conditions or disabilities. Must be a quick learner, excellent team player and customer service oriented. Preferred: Bilingual in one of L.A. Care Health Plan’s threshold languages is highly desirable. English, Spanish, Chinese, Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese. Licenses/Certifications Required Licenses/Certifications Preferred Required Training Physical Requirements Light Additional Information L.A. Care Health Plan Call Center is available 24 hours a day, 7 days a week, including holidays. Call Center work shifts are assigned based on business need and may include, but not be limited to, evenings, weekends and holidays. Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change. L.A. Care offers a wide range of benefits including Paid Time Off (PTO) Tuition Reimbursement Retirement Plans Medical, Dental and Vision Wellness Program Volunteer Time Off (VTO)
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Los Angeles, United States L.A. Care Health Plan Full timeThe Customer Solution Center Service Representative I is responsible for a successful completion of the Member Services training program and continues to gain strong knowledge of Medi-Cal and Personal Assistance Services Council (PASC) managed care p Solution, Representative, Customer Service, High School, Member Service, Retail, Healthcare
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Customer Solution Center Service Representative I
2 months ago
Los Angeles, California, United States L.A. Care Health Plan Full timeSalary Range: $45, Min.) - $47, Mid.) - $55, Max.)Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the...
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Los Angeles, United States L.A. Care Health Plan Full timeLead Customer Solution Center Service Representative Job Category: Customer Service Department: Customer Solution Call Center Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 11178 Salary Range: $55,245.00 (Min.) - $69,045.00 (Mid.) - $82,867.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency...
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Lead Customer Solution Center Service Representative
2 months ago
Los Angeles, United States L.A. Care Health Plan Full timeSalary Range: $55,245.00 (Min.) - $69,045.00 (Mid.) - $82,867.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million...
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Customer Solution Center Even MORE Service Liaison I
2 months ago
Los Angeles, United States L.A. Care Health Plan Full timeThe Customer Solution Center Even MORE Service Liaison I, will communicate to members in all line of business (LOB) regarding: welcome calls, outbound calls, member -Health Risk Assessment, related programs by LOB. Conduct and document outreach activ Solution, Liaison, Service, Customer, Health, High School, Retail, Healthcare
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Los Angeles, United States L.A. Care Health Plan Full timeCustomer Solution Center Service Representative II (Nights) Job Category: Customer Service Department: Customer Solution Call Center Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 11451 Salary Range: $50,216.00 (Min.) - $62,770.00 (Mid.) - $75,324.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent...
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Los Angeles, United States L.A. Care Health Plan Full timeCustomer Solution Center Service Representative II (Nights) Job Category: Customer Service Department: Customer Solution Call Center Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 11451 Salary Range: $50,216.00 (Min.) - $62,770.00 (Mid.) - $75,324.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public...
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Los Angeles, United States L.A. Care Health Plan Full timeCustomer Solution Center Enrollment Services Representative II Job Category: Customer Service Department: Enrollment Services Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 11432 Salary Range: $50,216.00 (Min.) - $62,770.00 (Mid.) - $75,324.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency...
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Senior Customer Service Center Representative
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Los Angeles, California, United States L.A. Care Health Plan Full timePosition Overview:The Senior Customer Service Center Representative plays a pivotal role in the management and success of the Customer Solution Call Center. This position is essential for fostering a productive and cohesive team environment, ensuring exceptional service delivery to our members.Key Responsibilities:1. Lead daily operations of the Member...
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Los Angeles, California, United States L.A. Care Health Plan Full timeJob Summary: We are seeking a highly skilled and dedicated Customer Solution Center Service Representative I to join our team at L.A. Care Health Plan. As a key member of our Member Services team, you will be responsible for providing exceptional customer service and support to our members.Key Responsibilities:Provide timely and effective resolution to...
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Los Angeles, United States HR Recruiting Services Full timeThis position is responsible for the ongoing progression and maintenance of CSCs compliance program efforts including but not limited to policy and procedure development training and education initiatives and compliance programmatic developments and enhancements.Responsibilities:Audit readiness: Performs audit procedures for Customer Solution Center...
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Los Angeles, United States L.A. Care Health Plan Full timeSalary Range: $50,216.00 (Min.) - $62,770.00 (Mid.) - $75,324.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million...
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Los Angeles, California, United States L.A. Care Health Plan Full timeSalary Range: $67, Min.) - $87, Mid.) - $107, Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members, we make sure our members get...
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Los Angeles, United States L.A. Care Health Plan Full timeSalary Range: $67,186.00 (Min.) - $87,342.00 (Mid.) - $107,498.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million...
