Customer Service Support Specialist

2 weeks ago

Orange, California, United States Infojini Full time
Job Title: Customer Service Support Person

We are seeking a highly motivated and experienced Customer Service Support Person to join our team at Infojini.

Job Summary:

The Customer Service Support Person will assist with specialized services for Medicare dual eligible members, including data reporting, analysis, and reconciliation. They will focus on member retention through accurate and timely resolution of issues and functions with minimal direction. The ideal candidate will prioritize daily tasks and work items in queue, manage turnaround times, and manage items that require escalation.

Key Responsibilities:
  • Assist with data reporting, analysis, and reconciliation for Medicare dual eligible members
  • Focus on member retention through accurate and timely resolution of issues and functions
  • Prioritize daily tasks and work items in queue
  • Manage turnaround times and escalate items as needed
  • Partner cross-functionally with various operational business units
  • Support departmental objectives and regulatory guidelines
Requirements:
  • High School diploma or equivalent required
  • 1 year of experience in eligibility and/or reconciliation required
  • An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position
Preferred Qualifications:
  • Health insurance background (Medicare) and previous experience interacting with regulatory agencies
  • Experience with practices related to Medicare
  • Bilingual in English and one of defined threshold languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese)
Knowledge and Abilities:
  • Develop rapport and establish and maintain effective working relationships with leadership and staff and external contacts at all levels and with diverse backgrounds
  • Work independently and exercise sound judgment
  • Communicate clearly and concisely, both orally and in writing
  • Work a flexible schedule and participate in evening and weekend events
  • Organize, be analytical, problem-solve, and possess project management skills
  • Work in a fast-paced environment and in an efficient manner
  • Manage multiple projects and identify opportunities for internal and external collaboration
  • Motivate and lead multiprogram teams and external committees/coalitions
Physical Requirements:
  • Ability to visually read information from computer screens, forms, and other printed materials and information
  • Ability to speak (enunciate) clearly in conversation and general communication
  • Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions
  • Manual dexterity for typing, writing, standing, and reaching, flexibility, body movement for bending, crouching, walking, kneeling, and prolonged sitting
  • Lifting and moving objects, patients, and/or equipment 10 to 25 pounds

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