Customer Service Representive

Duties & Responsibilities:

* 80% - Program Support
* Participates in a mission-driven culture of high-quality performance, with a member focus on Customer Service, consistency, dignity and accountability.
* Maintains departmental productivity and quality standards.
* Follows through on and completes all member and provider inquiries or requests during the original member and provider interaction.
* Serves as a resource for other team members.

* 15% - Administrative Support
* Assists the team in carrying out department responsibilities and collaborates with others to support short and long-term goals/priorities for the department.
* Addresses member and provider inquiries, questions and concerns in all areas including eligibility, enrollment, claims or authorization status, benefit interpretation and referrals/authorizations for medical care in-person or telephonically.
* Enters accurate and complete documentation into internal application systems regarding all concerns and/or inquiries from the member and provider interaction.
* Communicates, builds and maintains internal and external relationships by prompt and accurate service delivery.
* Identifies and communicates challenges that might arise with the use of professional judgment while adhering to departmental policies and procedures.

* 5% - Completes other projects and duties as assigned.

Minimum Qualifications:
* High School diploma or equivalent required.
* 6 months of experience in a call center capacity required.
* Typing speed of 35 words per minute (WPM) required.
* An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.
Preferred Qualifications:
* 6 months of Medi-Cal/Medicaid or health services experience.

Job Types: Full-time, Contract

Salary: $23.00 - $28.00 per hour

Expected hours: 40 per week

Benefits:

• Dental insurance
• Health insurance
• Vision insurance

Experience level:

• 1 year
• 2 years
• 3 years
• 4 years
• 5 years
• 6 years
• 7 years
• 8 years
• 9 years

Shift:

• Morning shift

Weekly day range:

• Monday to Friday

Work setting:

• In-person

Experience:

• Medical Customer service: 1 year (Required)

Ability to Commute:

• Orange, CA 92868 (Preferred)

Ability to Relocate:

• Orange, CA 92868: Relocate before starting work (Preferred)

Work Location: In person