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Healthcare Customer Service Advocate
4 months ago
HealthCare Support is actively seeking a Customer Service Advocate to fill an opening with a Managed Care Organization in Woodland Hills, CA.
Daily Responsibilities for Customer Service Advocate:
- Handling inbound calls regarding benefits eligibility/claims status
- Respond to customer inquiries via telephone and written correspondence in a timely and appropriate manner
- Respond to telephone or written correspondence inquiries from members and/or providers within established timeframes utilizing current reference materials and available resources
- Provide assistance to members and/or providers regarding website registration and navigation
- Process written customer correspondence and provide the appropriate level of timely follow up
- May coordinate member transportation and make referrals to other departments as appropriate
- Maintain performance and quality standards based on established call center metrics including turn-around times
- Research and identify any processing inaccuracies in claim payments and route to the appropriate site operations team for claim adjustment
- Shift: Monday - Friday (Some Saturdays will be required once on production) Must be able to work any shift from 8:00am - 6:00pm PST (Training is 5-6 weeks on 8am-4:30 pm shift M-F) Will be on the 9-6 shift after training.
- Fully remote but must be within a reasonable driving distance to Woodland Hills for tech issues
- Verifiable High School Diploma or GED
- 1+ year of customer service experience, call center is a plus
- Must have great soft skills and passion for member
- Internet speed uploaded to files, must be at least 100 Download and 20 Upload
- Proven skills with computers and ability to multitask between multiple systems (at least 4) please list systems used on resume
Preferred Qualifications but not required for Customer Service Advocate:
- Healthcare back office or MCO experience
- Bilingual in Spanish and English
Benefits for Customer Service Advocate:
- Immediate enrollment in Health Insurance
- Dental Insurance
- Life Insurance
- Employee Assistance Program (EAP)
- Access to Investment Accounts
- Career and educational tools within our Ingenovis ACT (Advocacy) Program
Pay Details: $19.64 an hour (fixed rate)
Interested in being considered?
If you are interested in applying to this position, please click Apply Now for immediate consideration.
For additional consideration, please email a copy of your resume to Patricia.Dy@healthcaresupport.com with your phone number, the job title and location, and our recruiters will reach out.
Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
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