Bilingual Customer Service Rep - Judge Group

Job Summary:

As a Customer Service Representative (CSR) you will be the primary point of contact for our members and providers. You will assist with inquiries related to Medi-Cal programs in Orange County, ensuring fair and effective resolution of member issues. You will provide essential information regarding eligibility, enrollment, benefits, and services to our eligible members and providers.

Position Responsibilities:

• Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
• Assists the team in carrying out department responsibilities and collaborates with others to support short and long-term 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 in-person or telephonically.
• Communicates, builds and maintains internal and external relationships by prompt and accurate service.
• Identifies and communicates challenges that might arise with the use of professional judgement while adhering to departmental policies and procedures.
  

Minimum Qualifications: 

• High school diploma or equivalent.
• 6 months of experience in a call center environment, or an equivalent combination of education and experience.
• Bilingual in English and one of the following languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese).

Preferred Qualifications: 

• 6 months of experience in health maintenance organizations (HMO), Medi-Cal/Medicaid, or health services.
• Typing speed of 35 words per minute (WPM).