Customer Service Rep

Location: Santa Ana, CA
Date Posted: 10-10-2018
CareNational
Customer Service Representative – Managed Care
Santa Ana, CA  (Orange County)
 
*** This is a Full-Time, Benefits Available, CONTRACT assignment, expected to last around 4 months, or longer! ***
** Strongly prefer Candidates fully bilingual in English and Spanish! **

Customer Service Job Summary: 
  • Receives, documents, researches and responds to customer inquiries following established policies, procedures and standards. (Answer, identify, research, document, and respond to a diverse and high volume of inbound and outbound health insurance related.)
  • Prepares a variety of correspondence and documents in response to customer inquiries, following departmental procedures and compliance guidelines. (Meet quality, quantity, and timeliness standards.)
  • Facilitates timely research and issue resolution through interaction and communication with the appropriate parties, which includes but is not limited to, department team members, employees within the organization, physician offices, and/or contracted plan representatives.
  • Works cohesively with team members to ensure delivery of outstanding customer service, in a positive work environment, that supports the department’s ongoing goals and objectives.
  • Fulfills informational needs of clients for care coordination of members, appropriate access to contracted providers, services of contracted managed care organizations, employee benefits, health and dental plan inquiries, and services of staff such as utilization review, prior authorization, billing and contract management. 
Customer Service Background:  
  • Requires an education level of at least a high school diploma or GED.
  • At least 1 year experience in a call center setting, or phone service and support role.
  • Knowledge of health care systems, including Medicaid/Medicare and related state programs is a significant plus.
  • Computer skills to include Microsoft Word, Excel and basic data entry, including the ability to learn new and complex computer system applications.
  • Must test at a around of 35 wpm typing with a high level of accuracy.
  • Basic computer literacy (MS Office) and typing skills are necessary.
  • Bilingual in English and Spanish is highly preferred.
 
 
  #ADMIN
 
KAYLA ROGERS
ACCOUNT MANAGER
CareNational
kayla@carenational.com
623.201.8732 (CALL – TEXT – FAX)
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