Medical Customer Service Representative

Onsite in Sacramento, CA 95833

Schedule: Monday - Friday 8a - 5p

Pay Range: $18 - $21 (dependent on incoming experience)

Job Description:
We are seeking a dedicated and experienced Medical Customer Service Representative to join our dynamic team. The ideal candidate will have a strong background in healthcare related customer service and medical call center experience. As a Customer Service Representative, you will be the first point of contact for our clients, providing exceptional service and support.

Responsibilities:

• Addressing incoming calls regarding member eligibility, benefits, provider information, billing, medical claims, status, and clinical and pharmacy needs.

• Coordinating member plan requirements, such as changing a Primary Care Provider or assisting with clinical/pharmacy matters.

• Documenting and handling appeals and grievances according to protocols and assisting with research and resolution.

• Investigating and confirming claims/billing issues and resolving them promptly according to department procedures.

• Reviewing and analyzing member claims for accuracy and educating members on how their benefits apply.

Requirements:

• Prior experience as a Customer Service Representative in a medical call center environment.

• Excellent communication and interpersonal skills.

• Strong problem-solving abilities and attention to detail.

• Ability to handle a high volume of calls in a fast-paced environment.

• Proficient in using computer systems and software related to customer service.

• High school diploma or equivalent; additional qualifications will be a plus.

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Equal Opportunity Employer/Veterans/Disabled

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/us/en/candidate-privacy

The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

• The California Fair Chance Act
• Los Angeles City Fair Chance Ordinance
• Los Angeles County Fair Chance Ordinance for Employers
• San Francisco Fair Chance Ordinance