Customer Service Representative

The Intersect Group is working with a client who is looking for a Customer Service Representative to join their team.

Job Title: Customer Service Representative

Location: Irvine, CA

Job Type: Contract to hire: Hybrid, 2 days in office, 3 days remote

Compensation:$22-$23 hr.

Job Duties:

• Assist Providers and employers requesting benefits, eligibility, authorizations, claims concerns, or referrals
• Assist Members with eligibility issues, COBRA, claims & other concerns regarding their coverage
• Assist Pharmacies with eligibility issues, drug authorization, drug co-pays, research of RX claims issues
• Follow-up on phone logs, claim research, eligibility, medical, dental, vision, and prescription plan issues
• Review member service procedures, publications, daily for one-call member resolution
• Maintain a 41-50 call per day minimum inbound/outbound total phone average

Essential Skills

• 1 or more years of experience in health care and claims related to position and knowledge of medical terminology
• Bilingual Spanish & English required
• High School diploma required
• Proficient in Microsoft Office, Team, and Zoom
• Experience in Healthcare Benefits plans, Billing and Coding, and working in a high-volume call center
• Outstanding writing, and verbal/nonverbal communication skills
• Team building skills; self-motivated, and contributes productively the team

Job Type: Full-time

Pay: $22.00 - $23.00 per hour

Shift:

• 8 hour shift
• Day shift

Weekly day range:

• Monday to Friday

Work setting:

• In-person

Ability to commute/relocate:

• Irvine, CA: Reliably commute or planning to relocate before starting work (Preferred)

Experience:

• Call center: 2 years (Preferred)
• Medical terminology: 2 years (Preferred)

Language:

• Spanish (Preferred)

Work Location: In person