Customer Service Representative

Direct Staffing Inc; Glendale (CA); On-site; USD 24,108; Full time

Job summary

A leading health insurance company is seeking a Customer Service Representative for their Glendale, CA location. This full-time role in an inbound call center involves managing clinical referrals and liaising with healthcare entities. The ideal candidate has a high school diploma, one year of call center experience (medical background preferred), and excellent communication skills. Competitive pay rate of $17.50 per hour, flexible schedule with training starting as early as 7:00 AM.

Qualifications

• 1 year call center experience required, medical background preferred.
• Medical terminology experience and basic understanding of the human body.
• Must be able to talk and type at the same time with speed and accuracy.

Responsibilities

• Initiate and manage clinical referrals for pre-authorization.
• Act as a liaison between hospitals, health plans, physicians, and patients.
• Verify insurance coverage and obtain authorizations from insurance plans.

Skills

Excellent customer-service and telephone skills

Excellent oral and written communication skills

Attention to detail

Ability to work independently

Medical terminology knowledge

Education

High school diploma

Job description

A leading health insurance company is currently seeking several Customer Service Representative positions for their location in Glendale, CA. This is a possible temp-to-permanent, full-time position. The pay rate is $17.50 per hour with a tentative start of 5/15/2017.

SUMMARY: This position will be working in a team environment. It is an inbound call center, supporting a non-clinical department. 6 week training is provided including on-the-job mentorship. You will be responsible for providing support to a clinical team in order to facilitate the administrative components of clinical referrals for various AIM services. You will act as a liaison between hospitals, physicians, health plans, vendors and patients.

PRIMARY DUTIES INCLUDE BUT ARE NOT LIMITED TO:

• Initiate and manage clinical referrals for pre-authorization.
• Act as a liaison between hospital, health plans, physicians, patients, vendors and other referral sources. Review referrals for completeness and follow up for additional information if necessary.
• Assign referrals to staff as appropriate.
• Verify insurance coverage and obtain authorizations if needed from insurance plans.
• Maintain database of insurance companies including numbers for verification of coverage, accepted plans, and requirements for patient eligibility.
• Contact physician offices as needed to obtain demographic information or related data.
• Enter referrals, documents, communications, actions and other data in system.

EDUCATION/EXPERIENCE:

• Requires high school diploma.
• 1 year call center experience required with medical background preferred or any combination of education and experience, which would provide an equivalent background.
• Medical terminology experience and basic understanding of the human body.
• Excellent customer-service and telephone skills required.
• Excellent oral and written communications skills required.
• Attention to detail, ability to work independently, able to apply feedback from management.
• Must be able to talk and type at same time with speed and accuracy in data entry.

TERMS OF ASSIGNMENT:

Pay rate: $17.50 per hour

Schedule: 05/15/2017 to 09/11/2017 with a possibility to be directly hired.

Hours: Monday-Friday 9:30 AM - 6:00 PM. You would need to be flexible with the training schedule which could start as early as 7:00 AM or as late as 9:30 AM arrival.

Qualifications

EDUCATION/EXPERIENCE:

• Requires high school diploma.
• 1 year call center experience required with medical background preferred or any combination of education and experience, which would provide an equivalent background.
• Medical terminology experience and basic understanding of the human body.
• Excellent customer-service and telephone skills required.
• Excellent oral and written communications skills required.
• Attention to detail, ability to work independently, able to apply feedback from management.
• Must be able to talk and type at same time with speed and accuracy in data entry.