Client Support Specialist

2 weeks ago

Modesto, California, United States Health Plan of San Joaquin Full time

Client Support Specialist

Location: Full-Time/Regular

Key Responsibilities:

This position is essential for addressing and resolving a wide range of inquiries, requests, and challenges from both external and internal clients within a call center setting.

Deliver information regarding benefits, eligibility, claims, authorizations, and other related matters through phone communication and in-person interactions.

Investigate and resolve issues related to claims and authorizations, while keeping track of progress.

Analyze and resolve complex eligibility concerns, ensuring timely follow-up.

Generate necessary documentation, including but not limited to call logs and various tracking systems.

Essential Skills:

What You Bring:

Knowledge, Skills, Abilities, and Competencies:

Required:

  • Ability to efficiently manage a high volume of calls daily, ensuring thorough documentation and resolution.
  • Produces work that is precise and comprehensive.
  • Engages in active learning through experimentation when addressing new challenges, leveraging both successes and setbacks.
  • Recovers from difficulties and adversity when faced with challenging situations.
  • Understands the most effective and efficient processes to achieve objectives, with a focus on continuous improvement.
  • Strong interpersonal skills - effectively interacts with individuals both within and outside the organization; relates openly and comfortably with diverse groups.
  • Demonstrates a commitment to the organization's strategy, vision, mission, and values.
  • Ability to compare and discern differences between multiple sets of data or information.
  • Exemplary time management and organizational skills, utilizing time effectively and valuing it.
  • Basic proficiency in Windows, Word, Excel, and Outlook.
  • Capability to navigate multiple systems and resources simultaneously.
  • Typing speed of 45 WPM with 90% accuracy.
  • Ability to handle confidential information with appropriate discretion.
  • Proficient in English communication.

Preferred:

  • Familiarity with Medi-Cal programs.
  • Understanding of managed care.
  • Knowledge of medical policy benefits and exclusions.
  • Familiarity with medical terminology.
  • Knowledge of ICD and CPT coding.

Required Experience:

What You Have:

Education and Experience:

Required:

  • High school diploma or equivalent; and
  • At least one year of experience managing a high volume of calls daily.
  • At least one year in a customer service-oriented role (including food service, retail, or similar).

Preferred:

  • Associate degree.
  • Experience in customer service within a health plan, managed care, and/or Medi-Cal.
  • Fluency in key threshold languages (such as Spanish).

What You Will Receive:

Benefits:

  • Competitive salary.
  • Comprehensive and affordable health/dental/vision coverage (90% paid medical for employees and 100% paid dental/vision for employees) with various provider options.
  • Generous paid time off (starting at 3 weeks of PTO, 4 paid floating holidays including employee's birthday, and 9 paid holidays).
  • CalPERS retirement pension program, with automatic employer-paid retirement contributions, in addition to a voluntary defined contribution plan.
  • Two flexible spending accounts (FSAs).
  • Employer-Paid Term Life and AD&D Insurance.
  • Employer-Paid Disability Insurance.
  • Employer-Paid Life Assistance Program.
  • Health Advocacy services.
  • Supplemental medical, legal, and identity theft protection.
  • Access to an exclusive discount mall.
  • Education and training reimbursement, along with employer-paid elective learning courses.

Join an organization that is mission-driven, with our members and community at the heart of everything we do.

Enjoy a shorter commute if traveling from the Central Valley to the Bay Area.

Experience visibility and variety as you collaborate with individuals at all levels of the organization and engage in diverse projects.

Our Vision:

Continuously enhance the health of our community.

Our Mission:

We deliver healthcare value and promote wellness through community partnerships.

  • Client Support Specialist

    2 weeks ago

    Modesto, California, United States Dons Mobile Glass Full time

    Job OverviewThe Client Support Specialist plays a crucial role in delivering outstanding customer service by leveraging comprehensive knowledge of our products and services. This position involves processing orders, managing incoming inquiries, generating daily reports, and coordinating parts orders while maintaining effective communication with colleagues...

  • Client Support Specialist

    1 week ago

    Modesto, California, United States Pridestaff - Modesto, CA Full time

    Job OverviewPrideStaff, a well-respected staffing agency, is thrilled to present a new role for a Client Support Specialist. This position is perfect for individuals seeking to advance their careers in a supportive environment.Key Responsibilities:As a Client Support Specialist, you will be expected to master the essential functions of the role, which...

  • Client Support Coordinator

    2 weeks ago

    Modesto, California, United States The West Experience Real Estate Group Full time

    Are you dedicated to delivering outstanding customer support? The West Experience Real Estate Group is seeking a Client Relations Specialist to enhance our team. With a competitive annual salary range of $47,500 - $50,000, you will be essential in ensuring our clients receive exceptional service. Our organization prioritizes building robust relationships and...

  • Client Engagement Specialist

    2 weeks ago

    Modesto, California, United States Business Marketing Firm Full time

    Position OverviewAt our Business Marketing Firm, we prioritize the relationships we cultivate with our valued clients. Our commitment to fostering enduring partnerships is a testament to the hard work of our Client Relations and Customer Service Team. As we prepare for our clients' forthcoming growth, we are seeking to enhance our team with a Client...

  • Travel Nurse RN Specialist

    2 days ago

    Modesto, California, United States HealthEcareers - Client Full time

    HealthEcareers - Client is seeking a skilled travel nurse to join their team as a PreOp / PACU - Post Anesthesia Care specialist. This is a 13-week travel nursing opportunity in California.Job Requirements and ResponsibilitiesSpecialty: PreOp / PACU - Post Anesthesia CareDiscipline: RNDuration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type:...

  • Technical Support Specialist

    2 weeks ago

    Modesto, California, United States ReedNET Support Full time

    Position Overview ReedNET Support is seeking a skilled IT Support Technician to enhance our technical team. If you possess strong technical abilities, enjoy resolving issues, and aspire to be the primary resource for IT inquiries, this role may be ideal for you.What We Provide:Attractive salary and comprehensive benefits package including Paid Time Off,...

  • Mental Health Support Specialist

    3 days ago

    Modesto, California, United States Telecare Corporation Full time

    Job SummaryThe Mental Health Support Specialist provides mental health support services to members served and their families at the program. The Specialist also assists in the coordination of all mental health support services provided by the Team.Key ResponsibilitiesCoordinate and collaborate with team members and outside agencies to provide comprehensive...

  • Veterinary Client Service Specialist

    2 weeks ago

    Modesto, California, United States Standiford Veterinary Center Inc Full time

    Position Overview:As a vital member of the Standiford Veterinary Center team, the Client Service Specialist plays a crucial role in ensuring a welcoming and efficient experience for pet owners.Compensation:Hourly Rate: $17.51 - $20Key Responsibilities:Provide outstanding customer service to pet owners, both in person and via phone.Manage appointment...

  • Client Support Specialist

    1 week ago

    Modesto, California, United States Visual Media Alliance Full time

    Customer Service RepresentativeJob OverviewWe are seeking a reliable and dedicated Customer Service Representative to join our team. This position requires a commitment to work Monday through Friday, from 8 AM to 5 PM, with the possibility of overtime as necessary.Key ResponsibilitiesExhibit exceptional organizational skills and the ability to work both...

  • Speech Language Pathology Support Specialist

    2 weeks ago

    Modesto, California, United States Millbrook Support Services Inc Full time

    Join Our Team as a Speech Language Pathology AssistantMillbrook Support Services Inc. is dedicated to connecting healthcare professionals with a diverse range of clients across the United States. We pride ourselves on investing in the growth and development of our providers. Our commitment includes offering appealing assignments alongside our esteemed...

  • Behavior Support Specialist

    2 weeks ago

    Modesto, California, United States GOALS for Autism Full time

    About Us: GOALS for Autism is a founder-led, mission-driven organization specializing in Applied Behavior Analysis (ABA). We are dedicated to supporting children with autism and other special needs, and we believe that a career in ABA can be incredibly rewarding for those who share our passion.Role Overview: As a Behavior Support Specialist, you will work...

  • Support Specialist

    2 weeks ago

    Modesto, California, United States Sevita Full time

    Join Our Team as a Support SpecialistAt Sevita, we are dedicated to providing exceptional community-based services for individuals with intellectual and developmental disabilities. Our mission is to empower every individual to live a fulfilling life, and we are looking for compassionate team members to help us achieve this goal.About the Role:As a Support...

  • Culinary Support Specialist

    1 week ago

    Modesto, California, United States Generations Healthcare Full time

    Join Our Team as a Culinary Support SpecialistPosition: Culinary Support Specialist at Generations HealthcareCompensation: $22.00 per hour, depending on experienceWe are seeking a dedicated and skilled Culinary Support Specialist to enhance our food service team. This role is essential in providing quality meals for our residents.Key Responsibilities:Assist...

  • Maintenance Support Specialist

    7 days ago

    Modesto, California, United States Stanislaus County Department of Workforce Development Full time

    About the Role:As a Maintenance Support Specialist with the Stanislaus County Department of Workforce Development, you will play a vital role in ensuring the cleanliness and orderliness of our facilities, providing exceptional customer service to visitors, and operating light vehicles.Key Responsibilities:Under the supervision of the Facilities Operations...

  • Inside Sales and Customer Support Specialist

    1 week ago

    Modesto, California, United States BBSI- Modesto Full time

    Job OverviewPosition Title: Inside Sales and Customer Support SpecialistJob I.D. #61550 Summary:Our organization is seeking a dedicated Inside Sales and Customer Support Specialist to provide exceptional assistance to clients and sales teams regarding product inquiries and purchases in a professional and efficient manner. Key Responsibilities:Welcomes...

  • Caregiver - Support Specialist

    13 hours ago

    Modesto, California, United States Sevita Full time

    About SevitaSevita is a leading provider of home and community-based specialized healthcare services. Our mission is to empower individuals with intellectual and developmental disabilities to live full, independent lives.Job SummaryWe are seeking a compassionate and dedicated Caregiver - Support Specialist to join our team. As a Caregiver - Support...

  • Instructional Support Specialist

    1 week ago

    Modesto, California, United States California Department of Education Full time

    Job Title: Instructional Support SpecialistJob Overview:Under the guidance of the site administrator and in collaboration with a certified educator, the Instructional Support Specialist engages in a variety of educational activities, providing essential clerical and supportive assistance to instructional staff, and fulfilling other related responsibilities...

  • Client Relations Specialist

    1 week ago

    Modesto, California, United States AGI Fresno Full time

    At AGI Fresno, we emphasize the importance of customer satisfaction, akin to the dedication found in the hospitality sector. Our Customer Service Associates are essential in connecting with local communities by providing a wide array of products and services from our distinguished partners, thereby boosting brand visibility and community involvement. As a...

  • Client Relations Specialist

    1 week ago

    Modesto, California, United States AGI Fresno Full time

    At AGI Fresno, we emphasize the importance of customer satisfaction, reflecting the hospitality sector's dedication to outstanding service. Our Customer Service Associates are essential in supporting local communities by providing a wide array of products and services from our distinguished partners, thereby boosting brand visibility and community...

  • Client Relations Specialist

    1 week ago

    Modesto, California, United States AGI Fresno Full time

    At AGI Fresno, we are dedicated to enhancing the customer journey, reflecting the hospitality sector's dedication to superior service. Our Customer Service Associates are crucial in supporting local communities by providing a wide array of products and services from our valued partners, thus improving brand visibility and community engagement. As a Customer...