Customer Service Representative

1 week ago

Orange, United States Eastridge Workforce Solutions Full time

Eastridge Workforce Solutions is a leading provider of workforce management solutions, committed to connecting skilled professionals with meaningful career opportunities. We are hiring a Customer Service Representative for a healthcare services company in Southern California.

Job Responsibilities/Duties

  • 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.
Qualifications
  • High school diploma or equivalent is required.
  • A minimum of two (2) years of customer service experience in a call center environment required. Within a health care setting preferred. Ability to multitask, prioritize, and work in a fast paced environment. Ability to multitask, prioritize, and work in a fast paced 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.
Benefits: Use this link bit.ly/4cGUQSh to learn more about benefits available to Eastridge's temporary employees.From time to time Eastridge's clients may offer additional benefits to Eastridge employees while on assignment.Information about those benefits will be communicated when applicable.

Eastridge Workforce Solutions is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We celebrate diversity and are committed to creating an inclusive environment for all employees. Please note that Eastridge is unable to provide visa sponsorship to applicants.

Certain clients require Eastridge to perform background checks and Eastridge will consider qualified applicants with criminal histories in a manner consistent with any applicable federal, state, or local law regarding criminal backgrounds, including but not limited to the Los Angeles Fair Chance Initiative for Hiring and the San Francisco Fair Chance Ordinance.

#IPRO

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