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Customer Service Rep. Sr.
Judge Group Orange, CA
$44k-55k (estimate)
Full Time | Business Services 4 Months Ago
Save

Judge Group is Hiring a Customer Service Rep. Sr. Near Orange, CA

Location: Orange, CA
Salary: $21.00 USD Hourly - $26.00 USD Hourly
Description: Our client is currently seeking a Customer Service Rep. Sr. in Orange, CA!
Overview:
The Customer Service Representative Sr is the first line of contact for members and providers and will assist them with questions related to the Medi-Cal programs for Orange County. The incumbent resolves member inquiries and complaints fairly and effectively. The incumbent provides information regarding eligibility, enrollment, benefits and services to company members and providers.
Responsibilities:
  • Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. 
  • Addresses member inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. 
  • Verifies member eligibility, claim and authorization status for providers.
  •  Responsible for thorough follow-up and completion of all member and provider inquires or requests. 
  • Responsible for accurate, complete, and correct documentation into Facets regarding all issues, inquires, complaints and grievances. 
  • Functions efficiently and productively in a high-volume call center. 
  •  Provides follow-up assistance as needed. 
  • Routes escalated calls to the appropriate Member Liaison Specialist, Supervisor or Call Center Manager. 
  •  Processes all member transportation request within one business day of receipt and coordinating all aspects of the process with the clinic, provider, and member as appropriate or necessary. 
  • Assists members with Member Web Portal registration and technical support. Interacts face-to-face with members by assisting with front desk coverage.
  •  Serves as a backup for Customer Service Leads, as needed. 
Qualifications & Requirements:
  • High School diploma or equivalent 
  •  2 years of experience in a customer/member service or call center capacity 
  •  An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above is also qualifying.
  •  Bilingual in English and in one of the following languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese) 
  • 2 years of Health Maintenance Organization (HMO), Medi-Cal/Medicaid and health services experience- preferred.
If you or anyone you know is interested please send an updated resume to edavis01@judge.com
Contact: edavis01@judge.com
This job and many more are available through The Judge Group. Find us on the web at www.judge.com

About the Company:
Judge Group

The Judge Group Inc., is a leading professional services firm specializing in talent, technology, and learning solutions. We consult, staff, train, and solve. Through our work we make people and organizations better. Our services are successfully delivered through a network of more than 30 offices across the United States, Canada, and India.

The Judge Group is proud to partner with the best and brightest companies in business today, including over 60 of the Fortune 100. We serve organizations in financial services, healthcare, life sciences, insurance, government (including aerospace and defense), manufacturing, and technology and telecommunications. If you would like to learn more about The Judge Group visit www.judge.com or call toll free (800) 360-4474.

Company Size:
5,000 to 9,999 employees

Industry:
Computer/IT Services

Founded:
1970

Website:
https://www.judge.com

Job Summary

JOB TYPE

Full Time

INDUSTRY

Business Services

SALARY

$44k-55k (estimate)

POST DATE

01/22/2024

EXPIRATION DATE

05/11/2024

WEBSITE

judge.com

HEADQUARTERS

FORT MYERS, FL

SIZE

3,000 - 7,500

FOUNDED

1970

TYPE

Private

CEO

TINA GANNON

REVENUE

$200M - $500M

INDUSTRY

Business Services

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