Customer Service Representative

1 week ago


San Francisco, United States Lucent Health Solutions, Inc. Full time
Customer Service Representative

Full-Time, Hybrid

Rancho Cordova, CA, US

Lucent Health, in Rancho Cordova, is seeking full time Customer Service Representatives, bilingual individuals preferred.

The Customer Service Representative is in daily contact with members, clients, and providers, and are very often the initial

contact with our office. A cheerful, competent and compassionate attitude will directly impact the satisfaction level of our

clients and retention of our accounts.

Essential Duties and Responsibilities: include the following. Other duties may be assigned.
  • Handle incoming and outbound group health plan customer service calls
  • Provide e-Payables support to various providers as well as cross-sell them on the benefits
  • Answer questions concerning claims status, medical pre-certification and e-Payment
  • Interpret benefit eligibility based on Summary Plan Descriptions
  • Explain benefit determinations
  • Contact providers, clients and insurance carriers as needed
  • Research written and verbal inquiries in response to complex customer calls
  • Answers phone calls utilizing efficient interpersonal and communication skills, as well as excellent telephone and customer service skills and etiquette.
  • Exhibits attention to detail and a strong work ethic.
  • Manages time and resources efficiently and effectively.
  • Maintains effective working relationships with our callers and co-workers; always ethical, professional and courteous.
  • Participates as a Team Member to ensure the smooth operation of the entire department.
  • References internal and external proprietary systems to obtain claim and eligibility information.
  • Maintains and enters notes with details and accuracy on call log tracking application.
  • Answers a minimum of 76 calls per shift.
  • Utilizes internal databases to provide efficient and effective information.
  • Analyzes claim and eligibility information using the Trizetto system.
  • Handles competently all calls including those relating to potential stop loss issues, TPL issues and high dollar claims.
  • Assesses and handle challenging callers and/or any other calls, which may need to be escalated to the manager.
  • In the case of the manager’s absence, report to the customer service team lead.
Education and/or Experience:

One to two years’ experience and/or training in a call center environment, ideally in a health insurance environment; or

equivalent combination of education and experience. Knowledge of medical terminology, system hierarchies, medical

coding, and claims processing are a plus

Qualifications:
  • Detail-oriented with strong organizational skills.
  • Excellent telephone etiquette and interpersonal skills.
  • Excellent oral communication skills and written communication skills, Spanish-speaking individuals preferred.
  • Strong skills in MS Word, Excel, and Outlook. Trizetto system a plus.
  • Professional demeanor with ability to work in a fast-paced environment.
  • Must also be able to work independently, multi-task, have excellent attention to detail, and be a team player


  • San Antonio, United States Customer Service Representative Full time

    Seeking aCustomer Service Representative for a direct hire opportunity in San Antonio, TX for our client a Global Logistics Company that offers sophisticated logistical solutions backed by the world's largest global logistics network. Essential Duties and Responsibilities: Entering Shipment Orders intoproprietary Transportation Management System. Check...


  • San Francisco, California, United States Service Corporation International Full time

    Our company, Service Corporation International, is a leader in the death care industry. We celebrate lives and honor the deceased. Consider a career with us.We are seeking a skilled and compassionate Customer Service Representative to join our team.Job Responsibilities:Greet guests and visitors, offering assistance when entering the building.Notify staff...


  • San Francisco, United States UCSF Benioff Children's Hospital Full time

    The Customer Service Representative (CSR) is responsible for the intake of digital printing & copying, offset printing, and graphic design projects and general customer service in person, by phone, or through email. The incumbent handles various type Customer Service Representative, Customer Service, Representative, Retail, Healthcare, CSR


  • San Francisco, United States Aramark Full time

    Demonstrates active, personal, daily involvement, visibility, open-mindedness, and professionalism to Support Services, staff, internal and external customers, and suppliers. Maintains required departmental records, reports, and files in accordance w Customer Service Representative, Customer Service, Representative, Retail, Service


  • San Francisco, United States risrx Full time

    Job Overview We are looking for an efficient and skilled Customer Service Representative for our call center. As a Customer Service Representative, your job is to provide excellent customer support to our clients. You will act as a liaison between our company and the clients. You will be required to respond to customers' queries and resolve them as soon as...


  • San Francisco, California, United States TTEC Full time

    Unlock Your Potential with TTECWe're seeking a highly skilled and motivated Bilingual Customer Service Representative to join our team at TTEC. As a key member of our customer experience team, you will play a vital role in delivering exceptional service to our clients.About the RoleAs a Bilingual Customer Service Representative, you will be responsible...


  • San Francisco, California, United States renrags Full time

    **About Renrags**Renrags is a leading company in the customer service industry, dedicated to providing exceptional support to our clients.**Job Summary**We are seeking a highly skilled and motivated Customer Service Representative to join our team. As a Customer Service Representative, you will be responsible for providing top-notch support to our clients,...


  • San Francisco, California, United States The chartis group Full time

    About The Chartis GroupWe are a leading provider of customer-centric solutions, dedicated to delivering exceptional service experiences. As a Customer Service Representative, you will play a vital role in ensuring our customers receive the highest level of support and satisfaction.Job SummaryWe are seeking a highly skilled and customer-focused individual to...


  • San Francisco, California, United States U - Haul Full time

    U-Haul is in search of friendly, motivated people for the position of Customer Service Representative.As a Customer Service Representative, you will work as part of a supportive team to be the face of U-Haul company's exceptional service and ensuring that customers get all the help they need on their journeys by inspecting and maintaining equipment.Fill...


  • San Francisco, California, United States Ferguson PLC Full time

    Job Title: Customer Service RepresentativeJob Summary:Ferguson PLC is seeking a highly motivated and customer-focused Customer Service Representative to join our team. As a key member of our showroom staff, you will be responsible for providing exceptional customer service, maintaining a positive and welcoming showroom environment, and supporting the sales...


  • San Francisco, California, United States Asian Box Full time

    Job SummaryWe are seeking a highly motivated and customer-focused individual to join our team as a Customer Service Representative, Cashier, and Front of House Staff at Asian Box. As a key member of our front-of-house team, you will be responsible for providing exceptional dining experiences for our guests.Key ResponsibilitiesGreet guests and operate cash...


  • San Francisco, United States Administrative Resource Options Full time

    ** Customer Service Representative** **Job Category****:** Customer Service **Requisition Number****:** CUSTO002536 Showing 1 location **Job Details** **Description** The **Customer Service Representative** provides high level customer service in a corporate environment that is professional, fast-paced and dynamic. **Essential Functions and Job...


  • San Francisco, United States Lucent Health Solutions, Inc. Full time

    Customer Service RepresentativeFull-Time, HybridRancho Cordova, CA, US Lucent Health, in Rancho Cordova, is seeking full time Customer Service Representatives, bilingual individuals preferred. The Customer Service Representative is in daily contact with members, clients, and providers, and are very often the initial contact with our office. A cheerful,...


  • San Francisco, California, United States Deaf, Inc. Full time

    Job Summary:Deaf, Inc. is seeking a highly skilled and compassionate Customer Service Representative to support the California Field Operations Coordinator for the Deaf and Disabled Telecommunications Program (DDTP). As a key member of our team, you will play a vital role in assisting disabled California residents who face challenges using standard...


  • San Francisco, United States Vortex Industries Full time

    Vortex Doors, America's highest quality and most customer-centric commercial and industrial door installation & repair company, is seeking a dedicated and customer-focused individual to join our team as Customer Service Representative. As a Customer Service Representative, you will be the first point of contact for our customers, providing them with...


  • San Francisco, United States Vortex Industries Full time

    Job Type Full-time Description Vortex Doors, America's highest quality and most customer-centric commercial and industrial door installation & repair company, is seeking a dedicated and customer-focused individual to join our team as Customer Service Representative. As a Customer Service Representative, you will be the first point of contact for our...


  • South San Francisco, United States Boudin Bakeries Full time

    RequirementsJob Description The Customer Service Representative position is responsible for providing the highest level of customer service while ensuring that all catering orders are produced per Boudin Catering standards and are delivered on time in an efficient manner. This position performs Catering related functions and utilizes all tools and systems...


  • San Francisco, United States Pyxai, Inc. Full time

    Job Description Do you have a good experience in customer service, managing incoming and outgoing calls, chats, and emails? Are you a proactive individual with excellent communication skills, great self-management skills, and the ability to thrive in a fast-paced environment? We are seeking a highly motivated and skilled customer service representative to...


  • San Francisco, United States TM Management Group Full time $43,000 - $53,000

    Job DescriptionJob DescriptionRather than being an all-service interactive marketing firm that doesn't have a specialty, we offer a dedicated suite of services done with exceptionally high standards. We focus on all industries in telecommunications, and our B2B Customer Service Representative team has enhanced knowledge of what works when representing a...


  • San Francisco, California, United States Rustman Agency Full time

    Job DescriptionWe are seeking passionate individuals to join our dynamic insurance team at Rustman Agency as a Customer Service And Sales Support Representative.About the RoleThis is an exciting opportunity to work in a fast-paced, growth-oriented environment where you will have the chance to develop your skills and knowledge in the insurance industry.Key...