Customer Care Representative
Customer Care Representative
Posted on :
04-10-2024
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Job Description
Client: CalOptima Health
Job Title: Customer Service Representative
Duration: 06 Months
Start Date: ASAP
Location: 505 City Parkway West CA Onsite
Position Type: Contract
Interview Type: In Person/Web Interview
Ceipal ID: CALCSR327IK
Position ID: 327
Job Title: Customer Service Representative
Duration: 06 Months
Start Date: ASAP
Location: 505 City Parkway West CA Onsite
Position Type: Contract
Interview Type: In Person/Web Interview
Ceipal ID: CALCSR327IK
Position ID: 327
Department: Customer Service
Note:
- Training Schedule: 8:30am5:30pm (1hour lunch)
- PostTraining Schedule is between CalOptima Health CS business hours: 8:00 AM 5:30 PM (8 hours with 30 mins 1 hour lunch break)
- Temps will be provided their actual post training schedule during the end of training or sooner.
- Schedule is subjected to change and dependent on business needs however will be communicate with employee at least a day in advance if not more.
- For employees scheduled to end at 5:30PM they must be able to stay until the call queue clears so there is possibility end time may extend a little beyond 5:30PM.
Description:
- CalOptima Health is seeking a highly motivated an experienced TEMP Customer Service Representative (NonBilingual) to join our team. The Customer Service Representative (CSR) will be the first line of contact for CalOptima Healths members and providers. The incumbent will assist members and providers with questions and/or complaints related to the MediCal programs for Orange County. The incumbent will provide information regarding eligibility enrollment benefits and services to CalOptima Healths eligible members and providers.
Duties & Responsibilities:
- 80% Program Support
- Participates in a missiondriven culture of highquality 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 longterm 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 inperson 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 MediCal/Medicaid or health services experience.
Knowledge & Abilities:
- Develop rapport and establish and maintain effective working relationships with CalOptima Healths leadership and staff and external contacts at all levels and with diverse backgrounds.
- Work independently and exercise sound judgment.
- Communicate clearly and concisely both orally and in writing.
- Work a flexible schedule; available to participate in evening and weekend events.
- Organize be analytical problemsolve and possess project management skills.
- Work in a fastpaced environment and in an efficient manner.
- Manage multiple projects and identify opportunities for internal and external collaboration.
- Motivate and lead multiprogram teams and external committees/coalitions.
- Utilize computer and appropriate software (e.g. Microsoft Office: Word Outlook Excel PowerPoint) and job specific applications/systems to produce correspondence charts spreadsheets and/or other information applicable to the position assignment.
Physical Requirements (With or Without Accommodations):
- Ability to visually read information from computer screens forms and other printed materials and information.
- Ability to speak (enunciate) clearly in conversation and general communication.
- Hearing ability for verbal communication/conversation/responses via telephone telephone systems and facetoface interactions.
- Manual dexterity for typing writing standing and reaching flexibility body movement for bending crouching walking kneeling and prolonged sitting.
- Lifting and moving objects patients and/or equipment 10 to 25 pounds
Work Environment:
- If located at the 500 505 Building or a remote work location:
- Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours with travel as needed.
- There are no harmful environmental conditions present for this job.
- The noise level in this work environment is usually moderate.
If located at PACE:
- Work is typically indoors in a clinical setting serving the frail and elderly.
- There may be harmful or hazardous environmental conditions present for this job.
- The noise level in this work environment is usually moderate to loud.
If located in the Community:
- Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours with travel as needed.
- Employee will occasionally work outdoors in varied temperatures.
- There may be harmful or hazardous environmental conditions present for this job.
- The noise level in this work environment is usually moderate to loud
V Group Inc. is an IT Services company that supplies IT staffing project management and delivery services in software network help desk and all IT areas. Our primary focus is the public sector including state and federal contracts. We have multiple awards/ contracts with the following states: CA FL GA MD MI NC NY OH OR PA SC VA and WA CT TN. If you are considering applying for a position with V Group or partnering with us on a position please feel free to contact me with any questions you may have regarding our services and the advantages we can offer you as a consultant.
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Employment Type
Full Time
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