Talent.com
Customer Service Representative
Customer Service RepresentativeSAN JOAQUIN COUNTY HEALTH COMMISSION • French Camp, CA, US
Customer Service Representative

Customer Service Representative

SAN JOAQUIN COUNTY HEALTH COMMISSION • French Camp, CA, US
Hace más de 30 días
Tipo de contrato
  • A tiempo completo
Descripción del trabajo

Job Description

Job Description

The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.

Join our team! We are hiring a Customer Service Representative for our French Camp, CA office. This is a fully onsite position.

What You Will Be Doing :

Under direct supervision, responsible for responding to and resolving a variety of inquiries, requests and issues from external and internal customers in a call center environment.

Our Vision :

Continuously improve the health of our community.

Our Mission :

We provide healthcare value and advance wellness through community partnerships.

Essential Functions :

  • Provides information on benefits, eligibility, claims, authorizations and other related items over the phone and in person.
  • Researches and resolves issues related to claims and authorizations; monitors progress.
  • Researches and resolves complex eligibility issues; monitors progress.
  • Creates required documentation, including but not limited to call logs and other tracking systems.

What You Bring :

Knowledge, Skills, Abilities and Competencies

Required

  • Produces work that is accurate and complete.
  • Actively learns through experimentation when tackling new problems, using both successes and failures to learn.
  • Rebounds from setbacks and adversity when facing difficult situations.
  • Knows the most effective and efficient process to get things done, with a focus on continuous improvement.
  • Interpersonal skills - interacts effectively with individuals both inside and outside of HPSJ; relates openly and comfortably with diverse groups of people.
  • Strong oral and written communication skills, with ability to express self clearly and professionally, and document according to standards.
  • Strong listening skills, with the ability to accurately receive and understand messages.
  • Ability to work independently and as part of a team.
  • Demonstrates a commitment to HPSJ’s strategy, vision, mission and values.
  • Ability to read, understand and apply complex written guidelines, instructions and other materials.
  • Ability to compare and discern the difference between multiple sets of data or information.
  • Time management and organizational skills. Uses time effectively and efficiently. Values time. Concentrates his / her efforts on the more important priorities. Can attend to a broader range of activities. Meets deadlines.
  • Basic problem solving and analytical skills, including the ability to perform routine analysis and solve problems using identified data and information.
  • Basic arithmetic skills.
  • Basic knowledge of contact center systems.
  • Basic conflict resolution skills, with the ability to use tact and diplomacy to diffuse emotional situations.
  • Basic skills in Windows, Word, Excel and Outlook.
  • Ability to navigate multiple systems and resources simultaneously.
  • Ability to handle confidential information with appropriate discretion.
  • Ability to speak and be understood in English.
  • Proficiency (as defined by HPSJ’s Cultural and Linguistics Program) in one of HPSJ’s threshold languages may be required, depending on business requirements.
  • Preferred

  • Ability to efficiently and effectively handle calls of heavy volume
  • (50-100 per day), including documentation and resolution.
  • Ability to type 45 WPM at 90%.
  • Knowledge of Medi-Cal programs
  • Knowledge of Medicare DSNP programs
  • Knowledge of managed care
  • Knowledge of medical policy benefits and exclusions
  • Knowledge of medical terminology
  • Knowledge of ICD and CPT coding.
  • Training Schedule : 6-8 weeks, Monday to Friday from 8am to 4 : 30pm

    After Training Schedule : Monday to Friday 8 : 30am to 5pm

    What You Have :

    Education and Experience

    Required

  • Required
  • High school diploma or general education degree; and
  • Customer Service experience.
  • Must be able to type 40 WPM.
  • Preferred

  • Associate’s degree
  • Experience in customer service in a health plan, managed care, Medicare DSNP and / or Medi-Cal.
  • At least one year handling heavy call volume (50-100 calls per day).
  • Licenses, Certifications

    Valid California driver license and reliable transportation or, the ability to obtain transportation on demand in the counties served by HPSJ if prohibited from getting a driver license due to a medically documented disability.

    What You Will Get : HPSJ Perks :

  • Competitive salary
  • Robust and affordable health / dental / vision with choices in providers
  • Generous paid time off (accrue up to 3 weeks of PTO, 4 paid floating holidays including employee’s birthday, and 9 paid holidays)
  • CalPERS retirement pension program, automatic employer-paid retirements contributions, in addition to voluntary defined contribution plan
  • Two flexible spending accounts (FSAs)
  • Employer-Paid Term Life and AD&D Insurance
  • Employer-Paid Disability Insurance
  • Employer-Paid Life Assistance Program
  • Health Advocacy
  • Supplemental medical, legal, identity theft protection
  • Access to exclusive discount mall
  • Education and training reimbursement in addition to employer-paid elective learning courses.
  • A chance to work for an organization that is mission-driven – our members and community are at the core of everything we do.
  • A shorter commute ­– if you’re commuting from the Central Valley to the Bay Area.
  • Visibility and variety – you have a chance to work with people at all levels of the organization, and work on diverse projects.
  • We are an equal opportunity employer and diversity is one of our core values. We believe that differences including race, ethnicity, gender, sexual orientation, and other characteristics, will help us create a strong organization that is sensitive to the needs of those we serve. Employment decisions are made on the basis of qualifications and merit.

    HPSJ provides equal employment opportunities to employees and applicants for employment and prohibits discrimination based on color, race, gender (including gender identity and gender expression), religion (including religious dress and grooming practices), marital status, registered domestic partner status, age, national origin (including language use) or ancestry, physical or mental disability, medical condition (including cancer and genetic characteristics), sex (including pregnancy, childbirth, breastfeeding or related medical condition), genetic information, sexual orientation, military or veteran status, political affiliation or any other characteristic made unlawful by applicable Federal, State or local laws. It also prohibits unlawful discrimination based on the perception that anyone has these characteristics or is associated with anyone who has or is perceived to have these characteristics.

    Important Notice : This job description is not a contract between HPSJ and the employee performing the job. The duties listed in the job description may be changed at the discretion of HPSJ, and HPSJ may request the employee to perform duties that are not listed on the job description.

    Crear una alerta de empleo para esta búsqueda

    Customer Service Representative • French Camp, CA, US

    Ofertas relacionadas
    Tennessee Healthcare Customer Service Representative

    Tennessee Healthcare Customer Service Representative

    VirtualVocations • Stockton, California, United States
    A tiempo completo
    A company is looking for a Healthcare Customer Service Representative working remotely.Key Responsibilities Recommend upgrades to health plans based on product and brand knowledge Conduct resear...Mostrar más
    Última actualización: hace 4 días • Oferta promocionada
    Remote Customer Service

    Remote Customer Service

    Professional Career Solutions • Manteca, California
    Teletrabajo
    A tiempo completo +1
    We're looking for candidates with great customer service skills to fill our Remote Customer Service role!.This role is entirely remote and offers full-time / Part time hours with flexibility.We are r...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Hospital Customer Service Representative

    Hospital Customer Service Representative

    VirtualVocations • Modesto, California, United States
    A tiempo completo
    A company is looking for a Hospital Customer Service Representative who will serve as the first point of contact for patients reaching out electronically. Key Responsibilities : Respond to patient ...Mostrar más
    Última actualización: hace 10 días • Oferta promocionada
    Bank Customer Service Representative

    Bank Customer Service Representative

    VirtualVocations • Modesto, California, United States
    A tiempo completo
    A company is looking for a Bank Call Center Representative for evening shifts.Key Responsibilities : Respond promptly to customer calls and online inquiries Investigate and resolve account-relate...Mostrar más
    Última actualización: hace 3 días • Oferta promocionada
    Property and Casualty Licensed Customer Care Representative

    Property and Casualty Licensed Customer Care Representative

    VirtualVocations • Stockton, California, United States
    A tiempo completo
    A company is looking for a Customer Care Representative with an Advantage P&C License required.Key Responsibilities Assist internal and external customers with moderately complex insurance issues...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Customer Service Representative (CSR)

    Customer Service Representative (CSR)

    Contigo Auto Insurance Center, Inc. • Lodi, CA, US
    A tiempo completo
    Be part of a company that values excellent service and a warm, welcoming environment.Were looking for someone who loves helping others, thrives in a team setting, and brings positive energy to ever...Mostrar más
    Última actualización: hace 13 días • Oferta promocionada
    Lead Customer Service Representative

    Lead Customer Service Representative

    Hassan & Sons Inc • Manteca, CA, US
    A tiempo completo
    Under the general direction of the Station Manager and Area Manager, the Customer Service Representative assists in carrying out the company’s day to day operations and is accountable for hel...Mostrar más
    Última actualización: hace 2 días • Oferta promocionada
    Customer Service Representative

    Customer Service Representative

    SAN JOAQUIN COUNTY HEALTH COMMISSION • Modesto, CA, US
    A tiempo completo
    The expected pay range is based on many factors such as geography, experience, education, and the market.The range is subject to change. Join our team! We are hiring a Customer Service Representativ...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Customer Service Representative II

    Customer Service Representative II

    VirtualVocations • Modesto, California, United States
    A tiempo completo
    A company is looking for a Customer Service Representative II - RGA (remote USA).Key Responsibilities Responds to and resolves customer / sales requests including returns, pricing credits, and defe...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Customer Service Representative

    Customer Service Representative

    VirtualVocations • Modesto, California, United States
    A tiempo completo
    A company is looking for a Customer Service Representative to provide exceptional service for a luxury retail client.Key Responsibilities Deliver world-class customer care through inbound and out...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Healthcare Customer Service Representative

    Healthcare Customer Service Representative

    VirtualVocations • Modesto, California, United States
    A tiempo completo
    A company is looking for a Healthcare Customer Service Rep.Key Responsibilities Make outbound calls to patients and customers for appointment scheduling and health assessments Assist members wit...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Customer Service Representative

    Customer Service Representative

    Ace Handyman Services Stockton • Stockton, CA, US
    A tiempo completo
    Administrative professionals are you looking for a way to turn your customer service background and your engaging personality into a challenging and rewarding sales career? Join our TEAM at Ace H...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Customer Service Support Representative

    Customer Service Support Representative

    VirtualVocations • Modesto, California, United States
    A tiempo completo
    A company is looking for a Specialty Testing Customer Service Support Representative to work from home.Key Responsibilities : Handle high call volume, averaging ~75 calls per day from patients and...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Bilingual Customer Service Representative

    Bilingual Customer Service Representative

    VirtualVocations • Stockton, California, United States
    A tiempo completo
    A company is looking for a Bilingual English and Spanish Customer Service Representative.Key Responsibilities Answer 50-70 incoming phone calls daily and determine customer assistance needs Docu...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Temporary Healthcare Customer Service Representative

    Temporary Healthcare Customer Service Representative

    VirtualVocations • Stockton, California, United States
    A tiempo completo
    A company is looking for a Temp Call Center Representative.Key Responsibilities Make high-volume outbound calls to CareSource members to complete Health Needs Assessments (HNAs) Document all res...Mostrar más
    Última actualización: hace 3 días • Oferta promocionada
    Customer Support Representative

    Customer Support Representative

    VirtualVocations • Stockton, California, United States
    A tiempo completo
    A company is looking for a Customer Support Representative to enhance customer experiences and provide effective support. Key Responsibilities Deliver high-quality customer support via phone, emai...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Customer Service Representative

    Customer Service Representative

    Bright Path CO. • Elk Grove, CA, US
    A tiempo completo
    Customer Service Representative – Be the Voice That Makes a Difference.We’re hiring Customer Service Representatives who are great listeners, quick thinkers, and love helping people.Whe...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Behavioral Health Customer Service Representative

    Behavioral Health Customer Service Representative

    VirtualVocations • Modesto, California, United States
    A tiempo completo
    A company is looking for a Customer Service Representative - Behavioral Health.Key Responsibilities Create emotional connections with members to support their health needs Review member claim hi...Mostrar más
    Última actualización: hace 13 horas • Oferta promocionada • Nueva oferta
    Senior Customer Service Representative

    Senior Customer Service Representative

    VirtualVocations • Stockton, California, United States
    A tiempo completo
    A company is looking for a Senior Customer Service Representative.Key Responsibilities : Handle an average of 55+ outbound / inbound calls, emails, or chats, addressing customer inquiries and issues...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Customer Care Representative

    Customer Care Representative

    VirtualVocations • Modesto, California, United States
    A tiempo completo
    A company is looking for an Associate Customer Care Representative.Key Responsibilities Deliver exceptional customer service via phone and email with empathy and professionalism Accurately proce...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada