HIPAA-Savvy Call Center & Admin Specialist

Western Growers; Irvine (CA); On-site; USD 42,000 - 54,000; Full time

Job summary

Western Growers Assurance Trust (WGAT) and Pinnacle Claims Management (PCMI) seek a Call Center Clerk to support the Customer Service team. You will route correspondence, prescreen documents, and assist with billing inquiries while ensuring HIPAA compliance and efficient service delivery.

The role requires a high school diploma, strong organizational skills, and the ability to work in a fast-paced environment. Bilingual Spanish is a plus, and some experience in a call center is preferred.

Qualifications

• High School diploma or equivalent and two years of experience as an office administrator.
• At least one year in an inbound call center environment preferred.
• Strong organizational and time-management skills.
• Proficiency in Microsoft Office (Word, Excel, Outlook).
• Ability to work independently or as part of a team.
• Bilingual in Spanish preferred; HIPAA knowledge is a plus.

Responsibilities

• Review, respond to and process daily clerical inquiries via fax, mail, email, and queues.
• Prescreen claims documents for validation and accuracy.
• Cross-reference claims and correspondence with providers and members.
• Prepare routine reports and assist with ad hoc projects.
• Lead escalated customer inquiries regarding billing issues.
• Provide phone backup to the Customer Service department as needed.
• Operate HCPS, imaging systems and HIPAA-compliant workflows.

Skills

Clerical tasks

Customer service

Organizational skills

Time management

Independent work

Bilingual Spanish

HIPAA rules knowledge

Education

High School diploma or equivalent

Job description

Western Growers Assurance Trust (WGAT) and Pinnacle Claims Management (PCMI) seek a Call Center Clerk to support the Customer Service team. You will route correspondence, prescreen documents, and assist with billing inquiries while ensuring HIPAA compliance and efficient service delivery.

The role requires a high school diploma, strong organizational skills, and the ability to work in a fast-paced environment. Bilingual Spanish is a plus, and some experience in a call center is preferred.