Healthcare Call Center Agent (Bilingual Required)
Do you have experience in the healthcare or medical industry? If so, our client is looking for a call center/customer service professional who can respond efficiently and effectively to customers and provides a positive first impression to all callers or patients. Our client offers in-house training, but we’re looking for a professional who can jump in with both feet from day one!
-6 months call center experience with high call volumes or customer service experience analyzing and solving customer problems required.
-HMO, Medi-Cal/Medicaid and health services experience preferred.
-Principles and practices of managed health care, health care systems, and medical terminology.
-Principles and techniques for handling customer service issues.
-Personal computers, keyboarding, and appropriate software to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.
-Customer service principles and practices.
-Addresses member inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care.
-Verify member eligibility, claim and authorization status for providers.
-Responsible for thorough follow-up and completion of all member, and provider inquiries or requests
-Responsible for accurate, complete and correct documentation into Facets regarding all issues, and/or inquiries, complaints and grievances.
-Function efficiently and productively in a high-volume telephone call center.
-Maintain departmental productivity and quality standards.
-Provide follow-up assistance as needed.
-Route escalated calls to the appropriate Member Liaison, Supervisor or Call Center Manager
-Refer issues to health networks and/or make recommendations for further contacts.
-If designated, responsible for processing all member transportation request within 1 business day of receipt and coordinating all aspects of the process with the clinic, provider and member as appropriate or necessary
-Adhere to company and departmental policies and procedures.
-Assists members with Member Web Portal registration and technical support.
Bilingual Required: Must be fluent in one of these languages
Experience: 6 months call center experience with high call volumes or customer service experience
Compensation: $13.00- $16.00 per hour DOE
Schedule: 8 am to 5:30 pm, Monday to Friday, Full Time
Duration: This is a contract to hire opportunity
Please send resume to Dessie.Farmer@Ajilon.com ... If you feel that this position is a match for you, please submit your resume today! For more open positions, visit the Ajilon website at www.ajilon.com
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