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Customer Service Representative
2 months ago
Would you like a job that has purpose? Are you passionate about caring for children and their families? Consider joining the Rady Children's Customer Service Team
This position is full time with benefits and generous paid time off. It will be 100% in the office until fully trained, after which time, a hybrid option may be offered. Optional overtime is offered if you would like even more hours.
This is an incredible team to work with. We love serving our members and find purpose in supporting them. The insurance process can be frustrating and we are here to help.
The Customer Service Representative’s primary role is to support relationships with members, providers and health plans. We provide timely, courteous resolution of issues and friendly answers to questions.
Responsibilities Include
Answering calls from provider offices and members of the medical group
Performing PCP assignment updates
Providing or scheduling translation services
Data entry of authorization requests
Authorization processing
Researching and responding to provider calls regarding authorization or claim payment status
Any other questions they may have
Skills Required
Knowledge of medical terminology, ICD-10 codes, CPT Codes, HCPC Codes, Health Plan benefits, or claims
Positive, friendly demeanor
Superb listening skills with natural curiosity
Strong time management and multi-tasking ability with attention to details
Outstanding communication skills, both verbally and in writing
Patience, compassion, and empathy
Masterful problem-solver
Motivation to meet (or exceed) service goals
Our efforts allow members to access much-needed medical care. The opportunity to learn and grow within the medical insurance industry can become a career with limitless possibilities.
We would love you to join our team Please review the requirements below and apply if qualified.
Minimum Qualifications
High School graduate, GED, or Equivalent
1 year of experience (Bachelor's degree considered in lieu of experience)
Excellent communication and interpersonal skills
Knowledge of medical terminology, ICD-10 codes, CPT Codes, HCPC Codes, Health Plan benefits, or claims
Previous experience in the health care field, such as hospital, medical group, health insurance, or other Risk Bearing Organization (RBO)
Preferred Qualifications
Bachelor's Degree
Computer skills, including Excel, EZ Cap, Word, Outlook, and data entry systems
The expected hiring range for this position is $20.00 to $27.50
Rady Children’s Hospital is committed to compensation that is externally competitive and internally equitable. We demonstrate this commitment by conducting regular market reviews to remain competitive with organizations of similar size in the nonprofit, healthcare sector. The range listed above does not represent the full salary range for the position but is the expected hiring range for qualified candidates. Compensation decisions consider a variety of factors including experience, education, licensure, unique skillsets, organizational need, and internal equity. This posting will remain open from the “date posted” until the hiring manager has determined there is a sufficient applicant pool or until the position is filled.
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