Customer Service Representative French Camp
3 months ago
** Customer Service Representative**
? Customer Service
French Camp ID: 1813-942 Full-Time/Regular
**What You Will Be Doing:**
This role involves being responsible for responding to and resolving a variety of inquiries, requests and issues from external and internal customers in a call center environment.
* Provides information on benefits, eligibility, claims, authorizations, and other related items over the phone and in person.
* Researches and resolves issues related to claims and authorizations, monitors progress.
* Researches and resolves complex eligibility issues, and monitors progress.
* Creates required documentation, including but not limited to call logs and other tracking systems.
**Required Skills**
**What You Bring:**
**Knowledge, Skills, Abilities and Competencies**
Required
* Ability to efficiently and effectively handle calls of heavy volume (50-100 per day), including documentation and resolution.
* Produces work that is accurate and complete.
* Actively learns through experimentation when tackling new problems, using both successes and failures to learn.
* Rebounds from setbacks and adversity when facing difficult situations.
* Knows the most effective and efficient process to get things done, with a focus on continuous improvement.
* Interpersonal skills - interacts effectively with individuals both inside and outside of HPSJ; relates openly and comfortably with diverse groups of people.
* Demonstrates a commitment to HPSJs strategy, vision, mission and values.
* Ability to compare and discern the difference between multiple sets of data or information.
* Time management and organizational skills. Uses time effectively and efficiently. Values time.
* Basic skills in Windows, Word, Excel and Outlook.
* Ability to navigate multiple systems and resources simultaneously.
* Ability to type 45 WPM at 90%.
* Ability to handle confidential information with appropriate discretion.
* Ability to speak and be understood in English.
Preferred
* Knowledge of Medi-Cal programs
* Knowledge of managed care
* Knowledge of medical policy benefits and exclusions
* Knowledge of medical terminology
* Knowledge of ICD and CPT coding.
**Required Experience**
**What you Have:**
***Education and Experience***
Required
* High school diploma or general education degree; and
* At least one of year handling heavy call volume (50-100 calls per day).
* At least one of year in a highly customer service facing role (including food service, retail, or similar)
Preferred
* Associate degree
* Experience in customer service in a health plan, managed care and/or Medi-Cal.
* Fluent in HPSJ key threshold languages (such as Spanish)
**What You Will Get:**
* HPSJ Perks:
+ Competitive salary
+ Robust and affordable health/dental/vision (90% paid medical for employees and 100% paid dental/vision for employees) with choices in providers
+ Generous paid time off (starting at 3 weeks of PTO, 4 paid floating holidays including employees birthday, and 9 paid holidays)
+ CalPERS retirement pension program, automatic employer-paid retirements contributions, in addition to voluntary defined contribution plan
+ Two flexible spending accounts (FSAs)
+ Employer-Paid Term Life and AD&D Insurance
+ Employer-Paid Disability Insurance
+ Employer-Paid Life Assistance Program
+ Health Advocacy
+ Supplemental medical, legal, identity theft protection
+ Access to exclusive discount mall
+ Education and training reimbursement in addition to employer-paid elective learning courses.
* A chance to work for an organization that is mission-driven our members and community are at the core of everything we do.
* A shorter commute if youre commuting from the Central Valley to the Bay Area.
* Visibility and variety you have a chance to work with people at all levels of the organization, and work on diverse projects.
**Our Vision:**
* Continuously improve the health of our community.
**Our Mission:**
* We provide healthcare value and advance wellness through community partnerships.
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