What are the responsibilities and job description for the Customer Service Rep. Sr. position at Judge Group?
Salary: $21.00 USD Hourly - $26.00 USD Hourly
Description: Our client is currently seeking a Customer Service Rep. Sr. in Orange, CA!
Overview:
- 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.
- Provides follow-up assistance as needed.
- Routes escalated calls to the appropriate Member Liaison Specialist, Supervisor or Call Center Manager.
- Processes all member transportation request within one business day of receipt and coordinating all aspects of the process with the clinic, provider, and member as appropriate or necessary.
- Assists members with Member Web Portal registration and technical support. Interacts face-to-face with members by assisting with front desk coverage.
- Serves as a backup for Customer Service Leads, as needed.
Qualifications & Requirements:
- High School diploma or equivalent
- 2 years of experience in a customer/member service or call center capacity
- 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 the following languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese)
- 2 years of Health Maintenance Organization (HMO), Medi-Cal/Medicaid and health services experience- preferred.
Contact: edavis01@judge.com
About the Company:
Judge Group
The Judge Group Inc., is a leading professional services firm specializing in talent, technology, and learning solutions. We consult, staff, train, and solve. Through our work we make people and organizations better. Our services are successfully delivered through a network of more than 30 offices across the United States, Canada, and India.
The Judge Group is proud to partner with the best and brightest companies in business today, including over 60 of the Fortune 100. We serve organizations in financial services, healthcare, life sciences, insurance, government (including aerospace and defense), manufacturing, and technology and telecommunications. If you would like to learn more about The Judge Group visit www.judge.com or call toll free (800) 360-4474.
Company Size:
5,000 to 9,999 employees
Industry:
Computer/IT Services
Founded:
1970
Website:
https://www.judge.com
Salary : $21 - $26
