Medical Cutomer Service - Bilingual Required - Ultimate Staffing Services

A Large Medical Insurance Company is seeking Bilingual Customer Service Representatives in Orange, CA.

Salary: $20- $25 per hour

Onsite position

Bilingual in one of the following languages required: Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese

Position is onsite in Orange, CA. 

Job Summary

The Customer Service Representative Sr is the first line of contact for Health members and providers and will assist them with questions related to the programs for Orange County. The incumbent resolves' member inquiries and complaints fairly and effectively. The incumbent provides information regarding eligibility, enrollment, benefits and services to Health 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 inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care.

Verifies member eligibility, claim and authorization status for providers.

Responsible for thorough follow-up and completion of all member and provider inquires or requests.

Responsible for accurate, complete, and correct documentation into Facets regarding all issues, inquires, complaints and grievances.

Functions efficiently and productively in a high-volume call center.

All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, and Los Angeles County Fair Chance Ordinance. For unincorporated Los Angeles county, to the extent our customers require a background check for certain positions, the Company faces a significant risk to its business operations and business reputation unless a review of criminal history is conducted for those specific job positions.