Job details

Customer Service Representative - CHOC MSO

JOB SUMMARY:
Under the supervision of the Customer Service Supervisor, the Customer Service Representative’s primary role is to promote favorable relationships with members, providers and health plans. Through the prompt, accurate and courteous resolution of issues, including but not limited to the following: authorization, processing claims, research, coordinating, translation services and Primary Care Provider changes.
SKILLS REQUIRED:

Positive and constructive demeanor
Superb listening skills
Outstanding communication skills (speaking, reading, writing)
Masterful problem-solver!

MINIMUM QUALIFICATIONS:
High School Diploma, GED, or Equivalent; Bachelor's Degree considered in lieu of experience
1 year of experience
Excellent communication and interpersonal skills
Knowledge of medical terminology, ICD-10 codes, CPT Codes, HCPC Codes, Health Plan benefits, or claims
Previous experience in the health care field, such as hospital, medical group, health insurance, or other Risk Bearing Organization (RBO)

PREFERRED QUALIFICATIONS:
Bachelor's Degree
Computer skills, including Excel, EZ Cap, Word, Outlook, and data entry systems

The expected hiring range for this position is $20.00 to $27.50

Rady Children’s Hospital is committed to compensation that is externally competitive and internally equitable. We demonstrate this commitment by conducting regular market reviews to remain competitive with organizations of similar size in the nonprofit, healthcare sector. The range listed above does not represent the full salary range for the position but is the expected hiring range for qualified candidates. Compensation decisions consider a variety of factors including experience, education, licensure, unique skillsets, organizational need, and internal equity.