Job Description
Call Center representative
laguna hills, california
$18 – $18.50 per hour
temp to perm
high school
shift: First
work hours: 8 AM – 4 PM
category office and administrative support occupations
reference AB_4278244
Job details
As part of our highly specialized Customer Service Team, you will be the single point of contact for our members and providers. The role of a Customer Service Representative is to provide caring and knowledgeable assistance to both members and providers. If you are live near the Laguna Hills area and are looking for a fully remote position please APPLY NOW!
Responsibilities
What you will do:
- Assist providers by resolving coordination of benefits inquiries by analyzing patient activity (including enrollment, third party liability, and claims attachments)
- Interpret and communicate accurate insurance coverage by having a comprehensive understanding of the process.Thoroughly and completely document all customer interactions.
- Educates customers and dental professionals on eligibility, benefits, claims payment, and authorizations.
- Provides direction on the usage and benefits of self-service tools.
- Assist members on gaining access to care by locating a network dentist or assignment to a primary care dentist.
What you will get:
- Fully Remote
- Weekday Schedule
- Benefits Available
What you will need:
- Preferred Experience: bilingual – Spanish
- Medical/Dental terminology knowledge experience.
- Medicare/Medicaid knowledge.
- Claims/Billing and coding experience.
- Experience with Cisco phone system a plus
- 2-years of experience in a high-volume customer service environment.
- 1-year experience in the health insurance industry.
Skills
- Call Center
- Customer Service
Qualifications
- Years of experience: 1 year
- Experience level: Entry Level