Customer Service Specialist

3 days ago


Sacramento, California, United States LHH Recruitment Solutions Full time
Job Summary

We are seeking a Customer Service Specialist to join our team at LHH Recruitment Solutions. In this role, you will be the primary point of contact for members and providers who interact with internal departments or external entities.

Key Responsibilities
  • You will accurately record and refer appeals and grievances according to department protocols and procedures.
  • Educate members on the Referral Program, the company website, and the self-service tools available online.
  • Assist members, providers, brokers, and plan partners with claims-related billing questions and issues as needed.
  • Work with inter and intra-department staff to help resolve member issues to ensure resolution within prescribed timeframes.
  • Manage difficult or emotional customer situations, respond promptly to customer needs, solicit customer feedback to improve service, respond to service requests, and meet commitments.
Qualifications
  • A High School Diploma is required.
  • A minimum of 2 years of experience working in a call center in a healthcare setting is required.
  • A minimum of 1 year of previous experience working in the healthcare industry, specifically HMOs, is required.
  • Basic computer skills, including electronic mail, routine databases, word processing, spreadsheet, graphics, etc., are required.
  • Bilingual is a plus.

Salary Range: $18.00 to $21.00 per hour, based on experience and qualifications.

About Our Company

LHH Recruitment Solutions is an equal opportunity employer. We offer a competitive salary range, medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits, and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave, including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.



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