For more details, please connect withIbad Ullah Khanator email at (see below)
Job Title: Customer Service Representative
Duration: 06 Months
Start Date: ASAP
Location: 505 City Parkway West, CA Orange 92868 (Onsite)
Position Type: Contract
Interview Type: In Person/Web Interview
- CalOptima Health is seeking a highly motivated an experienced TEMP - Customer Service Representative (Non-Bilingual) to join our team. The Customer Service Representative (CSR) will be the first line of contact for CalOptima Health&s members and providers. The incumbent will assist members and providers with questions and/or complaints related to the Medi-Cal programs for Orange County. The incumbent will provide information regarding eligibility, enrollment, benefits and services to CalOptima Health&s eligible members and providers.
Duties & Responsibilities:
80% - Program Support
- Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
- Maintains departmental productivity and quality standards.
- Follows through on and completes all member and provider inquiries or requests during the original member and provider interaction.
- Serves as a resource for other team members.
15% - Administrative Support
- 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.
- Enters accurate and complete documentation into internal application systems regarding all concerns and/or inquiries from the member and provider interaction.
- Communicates, builds and maintains internal and external relationships by prompt and accurate service delivery.
- Identifies and communicates challenges that might arise with the use of professional judgment while adhering to departmental policies and procedures.
5% - Completes other projects and duties as assigned.
Minimum Qualifications:
- High School diploma or equivalent required.
- 6 months of experience in a call center capacity required.
- Typing speed of 35 words per minute (WPM) required
Preferred Qualifications:
- 6 months of Medi-Cal/Medicaid or health services experience.