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Customer Solution Center Service Representative IV - Full-time / Part-time
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Los Angeles, CA Los Angeles, California |
About this job
DUTIES
The Customer Solution Center Representative IV has advanced knowledge of healthcare and various managed care product lines, Medi-Cal, PASC, L.A. Care Covered/Cal Medi-Connect and proficient in medical terminology. The CSC Representative IV responsibilities include duties such as: assist supporting queues and Management with projects as needed (e.g. provide informative feedback on desktop procedures, follow-up on member inquiries, CSC Representative shadowing etc…), acting as back-up support to Call Center Supervisors and Leads. This position handles inbound and outbound interactions involving member eligibility verification, general provider inquiries, claim status (pre-payment), general program and administration questions for all lines of business including direct member request for I.D cards and PCP changes, triage of calls to appropriate unit. Processing payments for L.A. Care Covered members, Document all call interactions in system of record.
QUALIFICATIONS AND REQUIREMENTS
EDUCATION
Required
High School Diploma
Preferred:
Associates Degree in General Studies, Business
EXPERIENCE
Required
With High School Diploma: 5 years customer service telephone experience in a healthcare environment.
With Associates Degree: 4 years customer service telephone experience in a healthcare environment.
Data entry experience with ability to type a minimum of 40 wpm.
Ability to answer a high volume of calls; previous ACD experience preferred.
Knowledge of medical terminology.
Good understanding of service to the disadvantaged population, seniors and or people with chronic conditions or disabilities.
Must be a quick learner, excellent team player and customer service oriented.
The member services representative will perform various functions including answering calls, conducting outreach activities and performing various data entry functions.
Preferred:
Managed care or health plan experience
Bilingual in one of LA Care Health Plan’s threshold languages is highly desirable.
English, Spanish, Chinese, Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese, Korean
The Customer Solution Center Representative IV has advanced knowledge of healthcare and various managed care product lines, Medi-Cal, PASC, L.A. Care Covered/Cal Medi-Connect and proficient in medical terminology. The CSC Representative IV responsibilities include duties such as: assist supporting queues and Management with projects as needed (e.g. provide informative feedback on desktop procedures, follow-up on member inquiries, CSC Representative shadowing etc…), acting as back-up support to Call Center Supervisors and Leads. This position handles inbound and outbound interactions involving member eligibility verification, general provider inquiries, claim status (pre-payment), general program and administration questions for all lines of business including direct member request for I.D cards and PCP changes, triage of calls to appropriate unit. Processing payments for L.A. Care Covered members, Document all call interactions in system of record.
QUALIFICATIONS AND REQUIREMENTS
EDUCATION
Required
High School Diploma
Preferred:
Associates Degree in General Studies, Business
EXPERIENCE
Required
With High School Diploma: 5 years customer service telephone experience in a healthcare environment.
With Associates Degree: 4 years customer service telephone experience in a healthcare environment.
Data entry experience with ability to type a minimum of 40 wpm.
Ability to answer a high volume of calls; previous ACD experience preferred.
Knowledge of medical terminology.
Good understanding of service to the disadvantaged population, seniors and or people with chronic conditions or disabilities.
Must be a quick learner, excellent team player and customer service oriented.
The member services representative will perform various functions including answering calls, conducting outreach activities and performing various data entry functions.
Preferred:
Managed care or health plan experience
Bilingual in one of LA Care Health Plan’s threshold languages is highly desirable.
English, Spanish, Chinese, Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese, Korean
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