Customer Service Specialist

2 weeks ago

Orange, California, United States Cogent Infotech Corporation Full time
Job Description

Title: Customer Service Specialist
Duration: 6 months
Location: Orange CA

Job Overview
This role is pivotal in ensuring a high standard of service delivery within a mission-driven environment. The focus is on providing exceptional customer support while maintaining a commitment to quality, dignity, and accountability.

Key Responsibilities:

  • Engage in program support, contributing to a culture that prioritizes member satisfaction and service excellence.
  • Collaborate with team members to fulfill departmental objectives and align with both short- and long-term strategic goals.
  • Respond to inquiries from members and providers regarding eligibility, enrollment, claims, and authorizations, ensuring clarity and understanding.
  • Act as a senior resource for colleagues, addressing complex issues and sharing knowledge on intricate processes.
  • Facilitate the coordination of healthcare and social service needs for members, liaising with various departments and external agencies.
  • Document all interactions accurately in internal systems to maintain comprehensive records of member and provider communications.
  • Initiate referrals to appropriate care management departments and community resources as necessary.
  • Adhere to departmental productivity and quality benchmarks, ensuring consistent performance.
  • Follow up on member and provider requests, providing additional assistance as required.
  • Engage in other projects and tasks as assigned to support the department's mission.

Minimum Qualifications:

  • High School diploma or equivalent is required.
  • A minimum of 2 years of experience in customer service, including at least 1 year in a call center environment.
  • Typing proficiency of 35 words per minute is necessary.
  • An equivalent combination of education and experience that meets the essential duties of the position may also be considered.
  • Bilingual proficiency in English and one of the defined threshold languages (Arabic, Chinese, Farsi, Korean, Spanish, Vietnamese) is required.

Preferred Qualifications:

  • 1 year of experience in Health Maintenance Organizations (HMO), Medi-Cal/Medicaid, or related health services.

This position offers the opportunity to work in a dynamic and supportive environment. Cogent Infotech is an equal opportunity employer, fostering a diverse and inclusive workplace. We welcome applicants from all backgrounds and do not discriminate based on race, color, religion, national origin, age, sex, pregnancy, genetic information, sexual orientation, gender identity, military status, citizenship, or any other characteristic protected by applicable law.

Company Overview

At Cogent, we are committed to advancing our expertise to establish new benchmarks in the industry. Through the continuous enhancement of our processes and the expansion of our services, we strive to meet the evolving needs across various sectors, delivering effective and comprehensive solutions.

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