About the Role
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
Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.