Job Description

CUSTOMER SERVICE REPRESENTATIVE

Location Irvine, California

ZIP/Postal Code 92618

Job Type Contract

Category Customer Service

Req # HSW-675379

Pay Rate $16 – $24 (hourly estimate)

JOB DESCRIPTION

Insight Global is looking for a remote customer service representative for one of their largest healthcare clients located in Southern California.

Specific Duties:

1. Answer 50-70 Inbound Calls daily

2. Resolve Member Inquiries

3. Provide Copay-Coinsurance information

4. Provide Authorization status

5. Provide Network information

6. Handle Member Complaints

7. Master internal department workflow processes

6. Ability to demonstrate Empathy/Compassion

Shift Start/End Time: 8:30 to 5:00 pm Mon-Friday

REQUIRED SKILLS & EXPERIENCE

– 1 year of call center experience (from a health plan or call center)

-Claims knowledge

– Eligibility

– Risk – payment methodologies (FFS vs CAP)

– Ability to attain quality call outcomes – provide 5 star service

NICE TO HAVE SKILLS & EXPERIENCE

Bilingual

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