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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, 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...
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Los Angeles, United States L.A. Care Health Plan Full timeJob Summary The Customer Solution Center (CSC) Audit Readiness Specialist II is responsible for the execution, oversight, and monitoring of the guidelines and protocols to ensure readiness for all regulatory audits. This position will develop, with the assistance of CSC management, a successful auditing strategy for the following end-to-end processes...
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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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Los Angeles, United States L.A. Care Health Plan Full timeCustomer Solution Center Service Representative II Job Category: Customer Service Department: Customer Solution Call Center Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 11602 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...
Customer Solution Center Enrollment Services
3 months ago
Customer 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**:11191**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 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 in five health plans, 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
- Duties
Timely processing of work assignments and maintain accuracy of provider and plan assignments as outlined in the company policies and procedures. (60%)
Assist the department in user acceptance testing (UAT) to improve/enhance processes. (5%)
Assist the department in the development of desktop level procedure (DLP). (5%)
Perform other duties as assigned. (10%)
- Duties Continued
Education Required
High School Diploma/or High School Equivalency Certificate
Education Preferred
Experience
**Required**:
Minimum of 1 year of member eligibility data experience in a healthcare environment.
Experience with and knowledge of Medi-Cal, Medicare, Market Place/Exchange, Commercial and Individual product lines and other related government-funded/sponsored healthcare programs.
**Preferred**:
Previous experience in Managed Health, preferably in Customer Service, Enrollment Services/or Claims.
Skills
**Required**:
Strong research, auditing, multi-tasking, problem-solving and verbal/written communication skills
Intermediate computer skills including MSOffice Suites as well as member processing system such as QNXT or MHC.
**Preferred**:
Knowledge in MARx and AEVS
Knowledge in 834, TRR, HCO or RTZ member eligibility electronic files.
Bilingual in one of LA 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 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)
**Nearest Major Market**:Los Angeles
**Job Segment**:Customer Service Representative, Claims, Medicare, Customer Service, Healthcare, Insurance
