Customer Service Representative

TEKsystems
$21.00 / hr
United States, California, Northridge
Nov 21, 2024
Regal Medical - Lakeside Community Healthcare Website: https://www.regalmed.com/ Job Title: Phone Agent Pay Rate: Starts at $21/hr Hours: Monday through Friday, 8:00 AM-5:30 PM Address: (100% On-Site Position) Northridge, CA Job Duties: Receives incoming calls through phone queues involving multiple issues from Members and Health Plans. Maintains or exceeds quality and productivity standards of a minimum of 65 calls per day with matching documentation. Anticipates our customers/caller's needs: Understanding the wants and needs of customers, listening for cues and identifying how to respond and determining what level of intervention they may need. Utilizes standardized processes, tools, Also resolves routine or complex issues relating to services provided by a provider within the medical group. This can include eligibility, referral status, process designated referrals, and provider availability and members claim related issues. Maintain patient confidentiality so that HIPAA compliance is observed at all times. Process member's demographic updates. Ability to work independently in the resolution of telephonic issues. Handles designated assignments and prioritize work in order to maintain workflow. Performs fax functions as needed. Ensures written and verbal communication with all levels of management, staff, vendors and property management or accurate and with good grammar. Displays professionalism, warm and pleasant phone personality, emphasizing tact, empathy, good judgment and patience. All additional duties as directed by management. Education and/or Experience: Minimum two (2) years of customer service and public relations experience in a medical setting. High School Diploma or equivalent is required. Bilingual is a plus: Vietnamese, Farsi, Armenian, Tagalog, Spanish, Russian. Ability to deal responsibly with matters of a confidential nature. Ability to multi-task and meet deadlines in a high stress environment Must have excellent communication skills, both verbal and written. Ability to read, write and understand the English language. Pleasant telephone manner as well as telephone etiquette The ability to distinguish the differences between CPT, HCPCS, Revenue, and ICD coding. Proficient in MS Office programs (i.e., Word, Excel, Outlook, Access and Power Point). Knowledge of computers, faxes, printers and all other office equipment. Self-starter, willing to take on multiple tasks. Must be able to review and interpret health plan benefits and provider contracts. Able to interface with customers both internal and external of RMG. Typing 45 WPM with accuracy. Ability to communicate effectively orally and written answering and resolving a minimum of 65 calls per day with matching documentation. Strong organizational skills with emphasis on prioritizing and attention to details. Managed Care experience is a plus. About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.