Customer Service Representative I
4 days ago
This position is responsible for answering telephone calls in a prompt, courteous, professional manner and acting as a liaison between Prospect Medical/ProMed Healthcare and: members; contracted and non-contracted care providers, ancillary providers; health plans; billing companies; collection companies, to provide assistance and respond to service requests. Representative is responsible for being a resource for other team members.
With approximately 9,000 physicians to serve our 260,000 members, Prospect Medical Systems is proud to be among the most innovative medical systems in California, Texas and Rhode Island. Our extensive care services range from primary care and specialty physician services to acute care hospital and skilled nursing facilities to behavioral health and wellness services. Each of our Independent Physician Associations (IPAs) and networks support the use of advanced diagnostic and treatment tools to provide our members with convenient access to state-of-the-art healthcare. For 25+ years, Prospect Medical has been focused on our mission of supporting independent physicians where, through risk arrangements, we work closely together with health plans, facilities and healthcare physicians for the benefit of every person who comes to us for care. We provide quality healthcare services that are designed to offer our patients highly coordinated, personalized care and that help them live healthier lives. Prospect Medical Systems manages highly successful IPAs by leveraging our best-practices, results-driven administrative services to manage patients under risk arrangements with health plans/CMS.- Assist customers on the telephone with inquiries, updates, changes related but not limited to claims, eligibility, referrals, PCP changes, billing, access, transportation and general coordination of care through thorough research in a timely manner. The monthly expectation is to perform at a quality level of 90% accuracy of all measures. The daily expectation is to efficiently answer a minimum of 60 calls per day (inbound).
- 100% thorough documentation of every call.
- Thoroughly verify HIPAA requirements to ensure account accuracy.
- Follow-up on all open issues.
- Communicate recurring issues and trends to management.
- All other duties assigned.
Minimum Education: High school diploma or equivalent.
Minimum Experience: A minimum of two (2) years of customer service experience in a call center environment required. Within a health care setting preferred. Ability to multi-task, prioritize, and work in a fast pace environment. Ability to multi-task, prioritize, and work in a fast pace environment. Knowledge of HIPAA regulations preferred. Knowledge of IPA operations in a health care setting preferred. Knowledge and experience of claims , eligibility, and referrals preferred. Must be proficient in Microsoft Office navigation, Excel, and Word and/or IDX knowledge.
Req. Certification/Licensure: None.
"Location-Based Pay Adjustment"
-
Q4-Customer Service Representative I
4 weeks ago
Orange, United States The Word & Brown Companies Full time***This Is a Seasonal Full-Time Position*** (Pay Range: $16.50 - $20.50hrly) Purpose of Position: The Customer Service Representative I handles calls from customers to resolve, educate, follow-up and respond to questions regarding California Choice/Choice Builder plan administration and procedures groups, members, brokers and general agencies. Essential...
-
Customer Service Representative
5 days ago
Orange, United States Medical Transportation Management Full timeAt MTM Transit, it is never just a ride, it's personal. We understand that our passengers deserve personalized attention and exceptional care and to us, every trip is important. We have exciting opportunities to join our growing team where your work has a direct impact on the communities we serve. Our company culture is one of innovation, collaboration, and...
-
Customer Service Representative I
4 weeks ago
Orange, United States Prospect Medical Holdings Full timeJob Description This position is responsible for answering telephone calls in a prompt, courteous, professional manner and acting as a liaison between Prospect Medical/ProMed Healthcare and: members; contracted and non-contracted care providers, ancillary providers; health plans; billing companies; collection companies, to provide assistance and respond to...
-
Customer Service Representative I
3 months ago
Orange, United States Alta Hospitals Full timeThis position is responsible for answering telephone calls in a prompt, courteous, professional manner and acting as a liaison between Prospect Medical/ProMed Healthcare and: members; contracted and non-contracted care providers, ancillary providers; health plans; billing companies; collection companies, to provide assistance and respond to service requests....
-
Customer Service Representative I
4 days ago
Orange, United States Prospect Medical Holdings Full timeThis position is responsible for answering telephone calls in a prompt, courteous, professional manner and acting as a liaison between Prospect Medical/ProMed Healthcare and: members; contracted and non-contracted care providers, ancillary providers; health plans; billing companies; collection companies, to provide assistance and respond to service requests....
-
Customer Service Representative
3 weeks ago
Orange, United States Precise Personnel, LLC. Full time $18 - $19Job DescriptionJob DescriptionWe are currently looking for a Entry Level Customer Service Representative in the City of Orange.This position is a Temporary to Permanent Position with our client located in the city of Orange.Job SummaryThe Customer Service Representative is responsible for fostering and enhancing strong relationships with customers. This role...
-
Customer Service Representative>
3 months ago
Orange, United States California State Gov Full timeCalifornia State Gov - JobID: 103705 [Customer Service Representative] As a Customer Service Representative at the State of California, you'll: Provide first response to customer service requests regarding availability of water, wastewater, and recycled water services; Perform receptionist duties, receiving telephone calls and greeting visitors in a friendly...
-
Customer Service Representative
1 week ago
Orange, California, United States Truly Nolen Full timeWe are seeking a professional Customer Service Representative with patience, accountability, and a genuine passion for providing a quality customer experience. You also enjoy looking for sales opportunities. The Customer Service Representative is responsible for developing the relationships between our customers, service technicians, and operations. Looking...
-
Customer Service Representative
2 days ago
Orange, Connecticut, United States Iberdrola Full timeJob SummaryWe are seeking a highly skilled Customer Service Representative to join our team at Iberdrola. As a Customer Service Representative, you will be responsible for providing exceptional customer service to our clients, resolving issues, and promoting our products and services.Key ResponsibilitiesCustomer Service: Respond to customer inquiries and...
-
Customer Service Representative
6 days ago
Orange, California, United States Domino's Franchise Full timeJob OverviewWe are seeking a friendly and approachable individual to join our team as a Customer Service Representative. As a key member of our Domino's Franchise, you will be responsible for providing exceptional customer service and ensuring a positive experience for our customers.Key ResponsibilitiesProvide prompt and courteous service to customers via...
-
Customer Service Representative
1 week ago
Orange, New Jersey, United States Domino's Pizza LLC Full timeCustomer Service Representative at Domino's Pizza LLCKey Responsibilities:Provide exceptional customer service through telephone and face-to-face interactions.Handle all aspects of customer service, including resolving customer complaints and concerns.Interact with customers via phone and in person, providing a positive and professional experience.Learn and...
-
Customer Service Representative
2 months ago
Orange, United States U-Haul Full timeCompensation Range: $16.00 to $25.00 Hourly Location: 25290 Jeronimo Rd, Lake Forest, California 92630 United States of America Are you a people person? Do you love helping others? 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...
-
Customer Service Representative
3 months ago
Orange, United States U-Haul Full timeLocation: 174 Boston Post Rd, Orange, Connecticut 06477 United States of America Are you a people person? Do you love helping others? 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...
-
Customer Service Representative
3 months ago
Orange, United States iStaffing Full timeJob DescriptionJob DescriptionCase manufacturer in the city of Orange is in need of a customer service representative to work in office Monday-Friday 8:00 AM-4:30 PM. The duties will be as followsAct as the company gatekeeperGreet customers warmly and ascertain problem or reason for callingManage large amounts of incoming calls and professionally interact...
-
Customer Service Representative
2 weeks ago
Orange, United States MTM Full timeAt MTM Transit, it is never just a ride, it's personal. We understand that our passengers deserve personalized attention and exceptional care and to us, every trip is important. We have exciting opportunities to join our growing team where your work has a direct impact on the communities we serve. Our company culture is one of innovation, collaboration, and...
-
Customer Service Representative
2 weeks ago
Orange, United States MTM Full timeAt MTM Transit, it is never just a ride, it's personal. We understand that our passengers deserve personalized attention and exceptional care and to us, every trip is important. We have exciting opportunities to join our growing team where your work has a direct impact on the communities we serve. Our company culture is one of innovation, collaboration, and...
-
Customer Service Representative
3 months ago
Orange, United States Bedrosians Full timeVision Statement for the Position You are the face of the company. You have the opportunity to build relationships with clients and provide solutions to ensure their vision is realized and enhance their buying experience. Job Overview Customer Service Representatives are responsible for assisting all customer segments including retail, contractor,...
-
Customer Service Representative
7 days ago
Orange, New Jersey, United States Adam Megivern - State Farm Agent Full timeJob OverviewAs a key member of our team at Adam Megivern - State Farm Agent, we are seeking a highly motivated and customer-focused individual to join our team as an Insurance Account Representative.Key ResponsibilitiesDevelop and maintain relationships with existing customers, identifying their insurance needs and providing tailored solutions.Prospect for...
-
Customer Service Representative
5 days ago
Orange, California, United States Circle K Stores, Inc. Full timeAbout the Role:We are seeking a highly motivated and customer-focused individual to join our team as a Customer Service Representative. As a key member of our retail team, you will be responsible for providing exceptional customer service, operating a cash register, and maintaining a clean and organized store environment.Key Responsibilities:Greet customers...
-
Customer Service Representative
3 days ago
Orange, California, United States Staff My Agency Full timeJob SummaryWe are seeking a highly motivated and bilingual Customer Service Representative to join our team at Staff My Agency. As a Licensed Insurance Agent, you will be responsible for providing exceptional customer service and support to our clients.Key ResponsibilitiesEstablish and maintain strong relationships with customers through prompt and accurate...
