Customer Service Representative

3 weeks ago


San Francisco, California, United States Schneider Full time
About the Role

We are seeking a highly skilled and compassionate Customer Service Representative to join our team at San Francisco Health Plan. As a key member of our customer service team, you will play a vital role in providing exceptional service to our members, prospective members, providers, and the general public.

Key Responsibilities
  • Respond to customer inquiries in a timely and professional manner
  • Verify member eligibility, coverage, or exclusion of services
  • Assist members in selecting or changing personal doctors or medical groups
  • Inform and educate customers on Plan policies, procedures, and services
  • Provide information, referrals, and coordinate member services with community resources
  • Participate in activities that reach out to prospective members and communities served
  • Maintain accurate records of all calls and outcomes in SFHP's platform
Requirements
  • 1+ years of experience in customer service, call center, or similar
  • Bilingual fluency in Cantonese/Mandarin or Spanish
  • Experience communicating confidential information
  • MS Office and customer management applications experience
  • Experience producing accurate, precise, and quality work in a diverse environment
  • Familiarity with healthcare and managed care terminology desired
  • Prior experience in healthcare and knowledge of managed care or Medi-Cal preferred
  • College degree or equivalent work experience
What We Offer
  • A competitive and robust compensation package, including health benefits, medical, dental, and vision coverage
  • Retirement - Employer-matched CalPERS Pension and 401(a) plans, 457 Plan
  • Time off - 23 days of Paid Time Off (PTO) and 13 paid holidays
  • Professional development: Opportunities for tuition reimbursement, professional license/membership
About SFHP

San Francisco Health Plan (SFHP) is an award-winning, managed care health plan that provides affordable healthcare coverage to low and moderate-income residents in San Francisco County. We are committed to a work environment that supports, inspires, and respects all individuals and in which our people processes are applied without discrimination.



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