Customer Support Representative I

altamed; Montebello (CA); On-site; USD 30,000 - 39,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k) Plan

Flexible Spending Accounts

Career Advancement

Paid Time Off

Holidays

Paid CME Days

Malpractice tail coverage

Tuition Reimbursement

Employee Discounts

Referral Bonus

Job summary

AltaMed Health Services Corp. is seeking a Representative I, Customer Support (CSR I) to be the front-line for members, advocates, and providers.

You will handle inquiries such as eligibility verification, authorization status, PCP changes, appeals, grievances, claims status, and EOB requests, documenting each interaction clearly and professionally.

Qualifications

• High School Diploma or GED required; Associate's or bachelor's degree preferred.
• Minimum of 1 year of customer service experience; Call Center or Health Care environment preferred.
• Bilingual in Spanish is required.

Responsibilities

• Provide front-line customer service to members, advocates, and providers.
• Resolve inquiries including eligibility, authorization status, PCP changes, appeals, grievances, claims status, and EOB requests.
• Document each call interaction clearly and promptly, escalating when needed.

Skills

Customer service

Bilingual Spanish

Education

High school diploma or GED

Associate's degree

Bachelor's degree

Job description

Grow Healthy

If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed - it's nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don't just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it's a calling that drives us forward every day.

Job Overview

Representative I, Customer Support (CSR I) is the front-line support to members, member advocates, and providers. The CSR I provides superior customer service to all incoming callers while assisting with their inquiries and requests. Calls include but are not limited to eligibility verification, authorization status, PCP changes, appeals and grievances, claims status, and requests for EOBs. The CSR I is expected to resolve and/or elevate inquiries/requests and document each call interaction in a clear, concise, professional, and timely manner.

Minimum Requirements

• High School Diploma or GED required. Associate's or bachelor's degree preferred.
• Minimum of 1 year of customer service experience is required. Call Center or Health Care environment preferred.
• Bilingual in Spanish is required.

Compensation

$25.00 - $25.00 hourly

Compensation Disclaimer

Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations. The range is subject to change. AltaMed is committed to ensuring a fair and competitive compensation package that reflects the candidate's value and the role's strategic importance within the organization. This role may also qualify for discretionary bonuses or incentives.

Benefits & Career Development

• Medical, Dental and Vision insurance
• 403(b) Retirement savings plans with employer matching contributions
• Flexible Spending Accounts
• Commuter Flexible Spending
• Career Advancement & Development opportunities
• Paid Time Off & Holidays
• Paid CME Days
• Malpractice insurance and tail coverage
• Tuition Reimbursement Program
• Corporate Employee Discounts
• Employee Referral Bonus Program
• Pet Care Insurance

Job Advertisement & Application Compliance Statement

AltaMed Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if AltaMed Health Service Corp. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.