Customer Service Representative

Immediate need for a talented Customer Service Representative. This is a 06+ Months Contract To Permanent opportunity with long-term potential and is located in CA(Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID:25-67322

Pay Range: $19 - $19.38/hour.  Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
 
Key Responsibilities:

• Receives and responds to routine member and/or provider inquiries, requests and/or concerns in an accurate and timely manner.
• Mitigates and prevents complaints from being escalated to resolve in initial contact. Including reaching out to other departments, Providers offices, Billing unit and Pharmacy to resolve the member issues.
• Resolves basic problems by communicating the requested information regarding the assessment of the member or provider needs, understanding the cause, and determining if problems need to be routed to other departments for further resolution.
• Have a clear understanding of First Call Resolution when it comes to finding the best results for the issue at hand.
• Maintains performance, attendance and quality standards based on established contact center metrics.
• Provides customer service in a high pace contact center environment over the phone and emails.
• Documents all member or provider information and communications for quality and performance tracking through the Customer Relationship Management (CRM) applications.  
• Be able to document what was conveyed to the member/provider and describing what took place.
• Remains up-to-date and adheres to quality standards, regulation, and all other policies to ensure quality, consistency, and compliance.
• Performs other duties as assigned.
• Complies with all policies and standards.

Key Requirements and Technology Experience:

• Key Skills- Call Center or Customer Service
• Healthcare
• Typing Speed and MS Office
• Customer Service or Call Center
• Multitasking- interacting and multitasking using multiple systems and programs simultaneously
• Active listening, Coachable, Team player
• Health Care Systems; Medi-Cal, Phone Etiquette
• Typing Speed and Computer Skills
• High School diploma/GED 

Our client is a leading Healthcare Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
 
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