Customer Service Representative
11 hours ago
Job Summary:
Niahealthcare is seeking a highly skilled and compassionate Customer Service Representative to join our team. As a MediCal Thai Specialist, you will be responsible for providing exceptional customer service to our members and providers, ensuring that their needs are met with professionalism and empathy.
Key Responsibilities:
- Respond to incoming calls and emails from members and providers regarding programs, policies, and procedures.
- Provide accurate and timely information regarding member eligibility, benefits, claims, and authorization inquiries.
- Resolve customer administrative concerns, including claim resolutions and other expressions of dissatisfaction.
- Assist in the mentoring and training of new staff members.
- Assume full responsibility for self-development and career progression, seeking ongoing trainings and professional development opportunities.
- Comprehensively assemble and enter patient information into the appropriate delivery system to initiate the EAP, Care, and Utilization management programs.
- Demonstrate flexibility in areas such as job duties and schedule to better serve members and support Niahealthcare's business and operational goals.
- Inform providers and members on Magellan's appeal process.
- Lead or participate in activities to improve Care Center performance, excellence, and culture.
- Link or make routine referrals and triage decisions not requiring clinical judgment.
- Perform necessary follow-up tasks to ensure member or provider needs are completely met.
- Provide information regarding Niahealthcare's in-network and out-of-network reimbursement rates and states multiple networks to providers.
- Refer callers requesting provider information to Provider Services regarding Niahealthcare's professional provider selection criteria and application process.
- Refer patients/EAP clients to the Niahealthcare's Care Management team for a provider, EAP affiliate, or Facility.
- Responsible for updating self on ever-changing information to ensure accuracy when dealing with members and providers.
- Support team members and participate in team activities to help build a high-performance team.
- Thoroughly document customer comments/information and forward required information to the appropriate staff.
Requirements:
- Bilingual in English and Thai.
- Flexible in scheduling and comfortable with change as customer service is an ever-changing environment.
- Responsible for meeting call handling requirements and daily telephone standards as set forth by management.
- Agree to observing service for the purpose of training and quality control.
- Proficient typist (avg. 35+ WPM) with strong written and verbal communication skills.
- Ability to maneuver through various computer platforms while verifying information on all calls.
- Ability to talk and type simultaneously.
Education and Experience:
- High School Diploma or equivalent required.
- Associates degree or higher preferred.
- Customer Service experience required.
License and Certifications:
- No specific licenses or certifications required.
Work Environment:
Niahealthcare is a tobacco-free workplace and an equal opportunity employer.
-
Customer Service Representative
1 day ago
Rancho Cordova, California, United States Niahealthcare Full time**About Niahealthcare**Niahealthcare is a leading healthcare organization dedicated to providing exceptional service to our members and providers. We are committed to delivering high-quality care and support to those who need it most.**Job Summary**We are seeking a highly skilled and compassionate Customer Service Representative to join our team. As a...
-
Customer Service Representative
16 hours ago
Rancho Cordova, California, United States Great Day Improvements: A Family of Brands Full timeAbout the RoleWe are seeking a highly motivated and customer-focused individual to join our team as a Call Center Representative. As a key member of our sales team, you will be responsible for providing exceptional customer service and support to our clients.As a Call Center Representative, you will be the first point of contact for our customers, answering...
-
Customer Service Representative
6 days ago
Rancho Cordova, California, United States Tanklessproaz Full timeJob Description**Job Summary:**Tanklessproaz is seeking a highly skilled and experienced Customer Service Representative to join our team as a Service Dispatcher. As a key member of our operations team, you will be responsible for providing exceptional customer service, scheduling and dispatching service technicians, and ensuring seamless communication with...
-
Customer Service Representative
12 hours ago
Rancho Cordova, California, United States Niahealthcare Full time**About Niahealthcare**Niahealthcare is a leading healthcare organization dedicated to providing exceptional service to our members and providers. We are committed to delivering high-quality care and support to those who need it most.**Job Summary**We are seeking a highly skilled and compassionate Customer Service Representative to join our team. As a...
-
Customer Service Representative
6 days ago
Rancho Cordova, California, United States SAFE Credit Union Full timeAbout the RoleWe are seeking a highly skilled and customer-focused individual to join our Contact Center team as a Customer Service Representative. As a key member of our team, you will be responsible for providing exceptional service to our members, resolving their inquiries and concerns in a prompt and professional manner.Key ResponsibilitiesProcess member...
-
Customer Service Representative
1 day ago
Rancho Cordova, California, United States Niahealthcare Full time**About Niahealthcare**Niahealthcare is a leading healthcare organization dedicated to providing exceptional patient care and support services. Our team of professionals is committed to delivering high-quality services that meet the unique needs of our patients and their families.**Job Summary**We are seeking a highly motivated and compassionate Customer...
-
Customer Service Representative
2 days ago
Rancho Cordova, California, United States Niahealthcare Full timeJob Summary:Niahealthcare is seeking a highly skilled and bilingual Customer Service Representative to join our team. As a Customer Service Representative, you will be responsible for providing exceptional service to our members and providers, answering incoming calls, and resolving customer administrative concerns.Key Responsibilities:Provide assistance to...
-
Customer Service Representative
6 days ago
Rancho Cordova, California, United States Jones Lange Lasalle, Inc. Full timeJob Summary:The Customer Service Representative will be responsible for delivering exceptional client and guest experiences by ensuring that all customers and visitors are assisted in a welcoming, professional, and friendly manner. This client-facing role provides a unique opportunity to work in a fast-paced environment, providing Receptionist, Operations,...
-
Customer Service Representative
9 hours ago
Rancho Cordova, California, United States Niahealthcare Full timeJob Summary:Niahealthcare is seeking a highly skilled and bilingual Customer Service Representative to join our team. As a Customer Service Representative, you will be responsible for providing exceptional service to our members and providers, answering incoming calls, and resolving customer administrative concerns.Key Responsibilities:Answer incoming calls...
-
Customer Service Representative
3 days ago
Rancho Cordova, California, United States Great Day Improvements: A Family of Brands Full timeJob Summary:We are seeking a highly motivated and customer-focused Customer Service Representative to join our team at Great Day Improvements: A Family of Brands. As a key member of our customer service team, you will be responsible for providing exceptional customer experiences through inbound and outbound calls, emails, and other communication channels.Key...
-
Customer Service Representative
6 days ago
Rancho Cordova, California, United States Great Day Improvements: A Family of Brands Full timeJob Summary:We are seeking a highly motivated and customer-focused Customer Service Representative to join our team at Great Day Improvements: A Family of Brands. As a key member of our customer service team, you will be responsible for providing exceptional customer experiences through inbound and outbound calls, emails, and other communication channels.Key...
-
Customer Service Representative
10 hours ago
Rancho Cordova, California, United States Niahealthcare Full timeAbout NiahealthcareNiahealthcare is a leading healthcare organization dedicated to providing exceptional service to our members and providers. Our team is passionate about making a difference in the lives of those we serve.Job SummaryWe are seeking a highly motivated and customer-focused individual to join our Customer Service team as a Customer Service...
-
Customer Service Representative
14 hours ago
Rancho Cordova, California, United States Niahealthcare Full timeJob Summary:We are seeking a highly skilled and compassionate Customer Service Representative to join our team at Niahealthcare. As a key member of our customer service team, you will be responsible for providing exceptional support to our members and providers, ensuring that their needs are met and exceeded.Key Responsibilities:Answer incoming calls related...
-
Customer Service Representative
14 hours ago
Rancho Cordova, California, United States Magellan Health Full time**About Magellan Health**Magellan Health is a leading healthcare company dedicated to improving the lives of our members and providers. As a Customer Service Representative, you will play a critical role in delivering exceptional service and support to our members and providers.**Key Responsibilities**• Respond to incoming calls and emails from members and...
-
Customer Service Representative
1 day ago
Rancho Cordova, California, United States Magellan Health Full time**About Magellan Health**Magellan Health is a leading healthcare company that prioritizes the health and well-being of its members and providers. As a Customer Service Representative, you will play a critical role in delivering exceptional service to our internal and external customers.**Key Responsibilities**Answer incoming calls related to eligibility,...
-
Customer Service Representative
1 day ago
Rancho Cordova, California, United States Niahealthcare Full timeJob SummaryNiahealthcare is seeking a highly skilled and compassionate Customer Service Representative to join our team. As a key member of our customer service department, you will be responsible for providing exceptional service to our members and providers, ensuring their needs are met and exceeded.Key ResponsibilitiesFront-Line Service: Provide...
-
Customer Service Representative
14 hours ago
Rancho Cordova, California, United States TEKsystems Full timeJob Summary:The Customer Service Representative will be responsible for interacting with customers to provide information in response to inquiries about products and services and to handle and resolve complaints. This role requires a strong customer service background and the ability to determine the client's issue, offer possible solutions, or provide...
-
Customer Service Representative
2 days ago
Rancho Cordova, California, United States IAA Full timeAbout the RoleWe are seeking a highly skilled and customer-focused Customer Service Representative to join our team at IAA, an RB Global, Inc. company. As a key member of our operations team, you will play a vital role in delivering exceptional customer experiences and supporting the growth of our business.Key ResponsibilitiesProvide Exceptional Customer...
-
Customer Service Representative
2 days ago
Rancho Cordova, California, United States IAA Full timeAbout the RoleWe are seeking a highly skilled and customer-focused Customer Service Representative to join our team at IAA, an RB Global, Inc. company. As a key member of our operations team, you will play a vital role in delivering exceptional customer experiences and supporting the growth of our business.Key ResponsibilitiesProvide Exceptional Customer...
-
Customer Service Representative
1 day ago
Rancho Cordova, California, United States Magellan Health Full timeJob Summary:Magellan Health is seeking a highly skilled and customer-focused Customer Service Representative to join our team. As a MediCal Armenian Specialist, you will play a critical role in providing exceptional service to our members and providers, ensuring their needs are met and exceeded.Key Responsibilities:Answer incoming calls related to...