Temp Medical Customer Service Rep - Alliance Solutions

Job Title: Temp  Medical Customer Service Rep(Immediate Need)

Temp Medical Customer Service Rep Pay Range: $20.81 - $25.26 

Temp Medical Customer Service Rep Schedule: 9:00am-5:30pm, Monday-Friday

Temp Medical Customer Service Rep Start Date: ASAP

We are seeking a Temp Customer Service Rep for a 6 month contract opportunity for the single largest health insurer in Orange County, providing coverage.The  Customer Service Rep addresses member inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. Will verify member eligibility, claim and authorization status for providers.

Temp Medical Customer Service Rep Key Responsibilities: 

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

• Maintains departmental productivity and quality standards.

• Routes escalated calls to the appropriate Member Liaison Specialist, Supervisor or Call Center Manager.

• Adheres to departmental policies and procedures.

• Assists members with Member Web Portal registration and technical support. 

• 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.

• Handles and resolves escalated issues.

• Competes other projects and duties as assigned.

• Speak, understand, read and/or write a second language in addition to English may be required for some assignments.

Temp  Medical Customer Service Rep Skills and Experience:  

• High School diploma or equivalent required.

• 3-6 months of call center experience.

• An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above is also qualifying.

• Bilingual in English and in one of our Health's defined threshold languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese) required.

• 3- 6 months  of Health Maintenance Organization (HMO), Medi-Cal/Medicaid and health services experience preferred.

If you believe you are a qualified candidate for our Temp Medical Customer Service role, please click apply below to apply on our website!

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