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Customer Service Representative
2 months ago
We are seeking a highly skilled and compassionate Customer Service Representative to join our team at Community Health Group. As a key member of our Member Services department, you will play a vital role in delivering exceptional customer service to our members, ensuring their needs are met and exceeded.
Responsibilities- Resolve member concerns through strategic actions, ensuring swift and seamless access to urgent care, interpreter services, and transportation arrangements.
- Facilitate smooth transitions for members, including changes in primary care providers and site discharges.
- Document all interactions meticulously, providing issue statements, steps taken for resolution, and resolution outcomes.
- Collaborate with cross-functional departments to ensure comprehensive member care and provider/vendor support.
- Engage with community-based programs to address members' non-medical and social needs.
- Represent the company in a highly professional manner at various events and forums.
- Adhere to on-call schedules, established procedures, and seek opportunities for service enhancement.
- Contribute to achieving departmental objectives, including exceptional customer service, complaint resolution, and member retention.
- Exhibit unwavering dedication to delivering superior, culturally sensitive service to team members, providers, and external partners.
- Initiate and ensure continuity of care for members eligible for such services.
- Uphold telephone service standards by actively participating in incoming Member Services telephone lines.
- Embrace various duties and participate in special projects as required.
- Bachelor's Degree
- Two years of experience in Member Services (preferably in the healthcare industry)
- Strong customer service background
- Familiarity with case documentation practices
- Experience with and sensitivity to cultural background and linguistic needs of membership
- Familiarity with Medi-Cal program eligibility requirements and community-based ethnic service and advocacy organizations
- Bilingual English/Spanish, English/Vietnamese, or English/Arabic
- Excellent communication and interpersonal skills
- Ability to exercise mature and independent judgment
Prolonged periods of sitting. Extensive use of telephone. Will be required to work evenings and/or weekends.
Community Health Group is an equal opportunity employer committed to diversity and inclusion in the workplace.