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Customer Service Representative Senior
2 months ago
We are seeking a highly skilled and experienced Senior Customer Service Representative to join our team at Impresiv Health. As a key member of our customer service team, you will be responsible for providing exceptional service to our members and providers, resolving complex issues, and ensuring a positive experience for all stakeholders.
Key Responsibilities- Provide senior-level support to customers, resolving complex issues and concerns in a timely and professional manner.
- Collaborate with internal teams to ensure seamless communication and resolution of customer inquiries.
- Verify member eligibility, claim, and authorization status for providers, ensuring accurate and timely information.
- Support the coordination of member healthcare and social service needs, both within and outside the medical group and health plan.
- Enter accurate and complete documentation into internal application systems, maintaining high-quality standards.
- Initiate referrals to internal and external care management departments and other department/government or community agencies as needed.
- Maintain departmental productivity and quality standards, meeting or exceeding expectations.
- High School diploma or equivalent required.
- 2+ years of experience in customer/member service, including 1 year call center capacity required.
- Typing speed of 35 words per minute (WPM) required.
- Bilingual in English and one of the defined threshold languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese) required.
- 1 year of Health Maintenance Organization, Medi-Cal/Medicaid experience preferred.
Impresiv Health is a healthcare consulting partner specializing in clinical & operations management, enterprise project management, professional services, and software consulting services. We help our clients increase operational efficiency by delivering innovative solutions to solve their most complex business challenges.
Our approach is simple: think and act like our customers, and deliver tangible results that add immediate value at a rate that cannot be beaten. Your success matters, and we know it.
