Job Description
Join Our Team as a Patient Services/Call Center Representative!
Are you a compassionate and experienced customer service professional looking to make a real difference in healthcare? We are seeking a dedicated Call Center Customer Service Representative to be the first point of contact for our members, providers, and advocates. If you are a strong communicator, a quick learner, and thrive in a fast-paced environment, we encourage you to apply!
As a vital member of our Patient Services team, you will handle first-level calls and provide essential support, including:
- Answering and resolving a high volume of incoming calls from members, potential members, providers, and advocates.
- Handling core inquiries such as member eligibility verification, general program and administration questions, and benefits and services.
- Providing essential information to members regarding access to care, coordination of care, and benefits.
- Troubleshooting and triaging calls to the appropriate internal units or outside entities to ensure seamless service.
- Ensuring compliance with Health Insurance Portability and Accountability Act ( HIPAA ) regulations at all times.
- Verifying member demographics and confirming insurance information.
Required Education & Experience:
- High School Diploma or High School Equivalency Certificate (equivalent experience accepted per hiring manager).
- At least 6 months of customer service call center experience .
- Data entry experience with the ability to type a minimum of 40 words per minute .
- Knowledge of medical terminology .
Required Skills:
- Experience handling inbound calls and successfully resolving member/customer issues.
- Excellent customer service skills with the ability to handle patients with empathy and compassion, particularly those who are disadvantaged, seniors, or people with chronic conditions/disabilities.
- Ability to answer a high volume of calls in a fast-paced environment.
- Must be a quick learner with the ability to troubleshoot and redirect calls effectively.
- A strong team player with excellent attendance, reliability, and punctuality.
Bonus Skills:
- Experience with CalAIM , Enhanced Care Management , or Health Plan operations.
- Bilingual in Spanish is a major plus!
Details
- Schedule: Monday - Friday, 8:00 AM - 5:00 PM
- Location: ONSITE El Segundo, CA 90245
Job Tags
Monday to Friday,