Customer Service Representative

Partners In Diversity, Inc.; Orange (CA); On-site; USD 31,684 - 42,774; Full time

Job summary

A community-focused healthcare organization is seeking a Customer Service Representative to assist members and providers with inquiries related to Medi-Cal programs in Orange County. You will be a first point of contact, providing information about eligibility, enrollment, and services. This is a temporary position in an office environment with a pay range of $23.00 to $31.05 per hour.

Qualifications

• 6 months of experience in a call center capacity required.
• Typing speed of 35 words per minute required.

Responsibilities

• Assist members and providers with questions and complaints.
• Address member and provider inquiries regarding eligibility and benefits.
• Complete documentation for all interactions.

Skills

Customer service focus

Communication skills

Typing speed

Education

High School diploma or equivalent

Job description

Base pay range

$23.00/hr - $31.05/hr

We are currently seeking a highly motivated and experienced Customer Service Representative to join our team. The CSR will be the first line of contact for Health’s members and providers. The incumbent will assist members and providers with questions and/or complaints related to the Medi-Cal programs for Orange County. The incumbent will provide information regarding eligibility, enrollment, benefits and services to Health’s eligible members and providers.

Position Information

• Department: Customer Service
• Salary Grade: 301 - $23.00 - $31.05
• Work Arrangement: Full Office in Orange, CA
• Temporary Assignment for up to 6 months

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 PLUS 6 months of experience in a call center capacity 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.
• Typing speed of 35 words per minute (WPM) required.