Customer Service Rep

Our client is currently seeking a Customer Service Rep in Orange, CA!

Schedule : M-F 8a-5p

In-office position

Compensation : Depends on experience

This job will have the following responsibilities :

• Assists the team in carrying out department responsibilities and collaborates with others to support short and long-term goals / priorities for the department.
• Addresses member and provider inquiries, questions and concerns in all areas including eligibility, enrollment, claims or authorization status, benefit interpretation and referrals / authorizations for medical care in-person or telephonically.
• Communicates, builds and maintains internal and external relationships by prompt and accurate service.
• Identifies and communicates challenges that might arise with the use of professional judgement while adhering to departmental policies and procedures.
• Follows through on and completes all member and provider inquiries or requests.
• Enters accurate, complete and correct documentation into Facets regarding all issues and / or inquires, complaints and grievances. Serves as a resource for other team members.

Qualifications & Requirements :

If you or anyone you know is interested please send an updated resume to edavis01@judge.com!