Call Center Customer Service Representative - 246292
3 days ago
El Segundo
Join Our Team as a Patient Services/Call Center Representative! Are you a compassionate and experienced customer service professional looking to make a real difference in healthcare? We are seeking a dedicated Call Center Customer Service Representative to be the first point of contact for our members, providers, and advocates. If you are a strong communicator, a quick learner, and thrive in a fast-paced environment, we encourage you to apply! As a vital member of our Patient Services team, you will handle first-level calls and provide essential support, including: • Answering and resolving a high volume of incoming calls from members, potential members, providers, and advocates., • Handling core inquiries such as member eligibility verification, general program and administration questions, and benefits and services., • Providing essential information to members regarding access to care, coordination of care, and benefits., • Troubleshooting and triaging calls to the appropriate internal units or outside entities to ensure seamless service., • Ensuring compliance with Health Insurance Portability and Accountability Act (HIPAA) regulations at all times., • Verifying member demographics and confirming insurance information. Required Education & Experience: • High School Diploma or High School Equivalency Certificate (equivalent experience accepted per hiring manager)., • At least 6 months of customer service call center experience., • Data entry experience with the ability to type a minimum of 40 words per minute., • Knowledge of medical terminology. Required Skills: • Experience handling inbound calls and successfully resolving member/customer issues., • Excellent customer service skills with the ability to handle patients with empathy and compassion, particularly those who are disadvantaged, seniors, or people with chronic conditions/disabilities., • Ability to answer a high volume of calls in a fast-paced environment., • Must be a quick learner with the ability to troubleshoot and redirect calls effectively., • A strong team player with excellent attendance, reliability, and punctuality. Bonus Skills: • Experience with CalAIM, Enhanced Care Management, or Health Plan operations., • Bilingual in Spanish is a major plus! Details • Schedule: Monday - Friday, 8:00 AM - 5:00 PM, • Location: ONSITE El Segundo, CA 90245