19 Customer Service Representative Jobs in Palm Desert, CA
Desert Oasis Healthcare is Hiring a Customer Service Representative Near Palm Desert, CA
- Handles all incoming calls, inquires or concerns from providers, members and/or health plans. Seeking resolution and follow-up within 24 hours timeframe and documenting pertinent information into the system in order to track inquiries.
- Assists the claims department in achieving compliance with timelines for misdirected claims.
- Performs timely research and uses appropriate resources, which includes but is not limited to UM for referrals and contract verbiage, in problem solving to achieve a satisfactory disposition.
- Prepares documentation necessary for adjustments.
- Assists with audit preparation, as needed.
- Remains abreast of all Health Plan DOFR’s administered by DOHC claims department including but not limited to HMO, PPO, Private, Medicare and Medi-Cal. Verifies insurance benefits and co-pays, as needed.
- Verifies member’s eligibility and benefits with the eligibility and benefit department, as needed.
- Assists with workflow of medical records through Encore.
- Remains abreast of all Health Plan DOFR’s administered by DOHC claims department including but not limited to HMO, PPO, Private, Medicare and Medi-Cal. Verifies insurance benefits and co-pays, as needed.
- Verifies member’s eligibility and benefits with the eligibility and benefit department, as needed.
- Assists with workflow of medical records through Encore.
- Educates Providers and members on the correct claims processes and workflow, as needed.
- Performs other duties as assigned.
- High School diploma or equivalent.
- One year experience in the medical or healthcare related field.
- Knowledge of Medicare rules, medical terminology, and managed care health plan rules and regulations, ICD-10, CPT and RVS codes.
- Must type 40 wpm.
- Ability to manage time effectively and prioritize tasks to meet established deadlines.
- Ability to communicate effectively with individuals within all levels of the organization, patients, providers, vendors and others.
- At the discretion of DOHC/FHC management, this position has the potential to be a full or hybrid telecommuting position.
Job Summary
Full Time
Ambulatory Healthcare Services
$40k-50k (estimate)
04/10/2024
06/09/2024
mydohc.com
INDIO, CA
200 - 500
1981
RANDY VAUGHN
$10M - $50M
Ambulatory Healthcare Services
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About Desert Oasis Healthcare
Desert Oasis Healthcare is committed to the provision and facilitation of the highest quality medical care to the residents of the desert communities. We will strive to be an organization which provides excellence in every encounter. As a result, we will be recognized by: Our patients as their care givers of choice; Our employees as their employer of choice; Our provider and health plan partners as their health care network of choice. Desert Oasis Healthcare is a non-discriminate (Religious, Cultural, Sexual, Ethnic) Health Care Provider. In 1981, Desert Medical Group Inc. introduced to the Co...achella Valley a full service medical facility, providing the community with all their health care needs from newborn to senior care. Today, we are Desert Oasis Healthcare - a team of highly skilled primary care physicians and ancillary providers with services conveniently located throughout the desert communities. Our many locations include Palm Springs, Bermuda Dunes, Indio, Rancho Mirage and Yucca Valley. Desert Oasis Healthcare's services include access to 4 Immediate Care Centers - Indio, Palm Desert, Palm Springs and Yucca Valley. We also offer an award winning Outreach Services Department that is committed to educating individuals on how to apply the principles of preventative health care in their daily lives, resulting in improved health. Desert Oasis Healthcare accepts most HMO's, private insurance, Medicare and private pay patients. We are affiliated with every hospital in the Coachella Valley, which includes Eisenhower Memorial Hospital, Desert Regional Medical Center, John F. Kennedy Memorial Hospital and Hi-Desert Medical Center
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The job skills required for Customer Service Representative include Customer Service, Problem Solving, Communicates Effectively, etc. Having related job skills and expertise will give you an advantage when applying to be a Customer Service Representative. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Customer Service Representative. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Customer Service Representative positions, which can be used as a reference in future career path planning. As a Customer Service Representative, it can be promoted into senior positions as a Customer Service Representative III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Customer Service Representative. You can explore the career advancement for a Customer Service Representative below and select your interested title to get hiring information.
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