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Customer Service Representative
2 months ago
About the Role:
We are seeking a highly skilled Customer Service Representative to join our team at L.A. Care Health Plan. As a Customer Service Representative, you will be responsible for providing exceptional service to our members, answering their questions, and resolving their issues in a timely and professional manner.
Key Responsibilities:
- Answer incoming calls from members, providers, and advocates
- Resolve member issues, assist members in connecting with internal units or external parties
- Provide essential information to members regarding access to care issues, coordination of care issues, benefits, and Evidence of Coverage (EOC)
- Assist providers in using the Interactive Voice Response (IVR) web portal and verifying member eligibility
- Document all calls via the member database system, QMEIS
- Ensure department compliance with Health Insurance Portability and Accountability Act (HIPAA) regulations relating to protection of personal history information
Requirements:
- At least 6 months of customer service call center experience
- Data entry experience with ability to type a minimum of 40 words per minute
- Preferred: Managed care or health plan experience
What We Offer:
- Paid Time Off (PTO)
- Tuition Reimbursement
- Retirement Plans
- Medical, Dental, and Vision
- Wellness Program
About L.A. Care Health Plan:
L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan, serving over 2 million members.
Our Mission:
Our mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents.
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