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Customer Service Representative

Clinicas del Camino Real
Camarillo, CA
  • Expired: over a month ago. Applications are no longer accepted.
Job Description

Location:

Camarillo

Benefits:

This is an excellent opportunity to work for an organization that truly makes a difference in the community. Clinicas Del Camino Real, Inc. offers a highly competitive salary; excellent benefit package including full medical, dental, vision, life and disability insurance; generous holiday, vacation and sick leave.

Duties:

JOB OBJECTIVE

The Customer Service Representative handles customer service inquires and problems via telephone, email or written correspondence. Answers questions and resolves issues based on phone calls/letters from members, providers and plan sponsors. Explains member’s benefits, rights and responsibilities in accordance with contract and uses applicable system tools and resources to produce quality letters and spreadsheets in response to inquiries received.

ESSENTIAL DUTIES AND RESPONSIBILITIES INCLUDE:

The Customer Service Representative will be responsible for:

  • Provide exceptional customer service via telephone
  • Adjust greeting to real time environment displaying empathy for the member’s inquiry
  • and/or situation
  • Ensures customer satisfaction by providing quality service, identifying customer needs and assisting them with issues/concerns related to insurance benefits, provider contracts, eligibility and claims.
  • Deliver accurate, concise information that result in the member feeling confident that the service request has been understood and resolved.
  • Analyze problems and resolve the Provider, Member and Health Plan issues over the telephone on the first call as often as possible.
  • Research, identify and problem solve, verify eligibility of service and place call backs as required. Assure timely follow-up and set appropriate expectations on all pending cases.
  • Ensure Provider Claims Inquiries are resolved timely.
  • Thoroughly documents inquiry outcomes for accurate tracking and analysis. Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.
  • Seeks, understands and responds to the needs and expectations of internal and external customers. Provides external and internal customers with requested information.
  • Maintain key performance metrics on outbound/inbound calling programs. Meet and support established service goals and business objectives by meeting and exceeding performance standards.
  • Adapts communication style to persons representing diverse personal, professional, cultural, and socio-economic backgrounds.
  • Ability to multi-task; simultaneously thinks, talks, and types.
  • Uses excellent hearing and listening skills to receive detailed information while utilizing good probing skills.
  • Requires knowledge of company services, products, insurance benefits, provider contracts and claims.
  • Perform other duties as assigned including participation in all safety programs which may include assignment to an emergency response team.

Requirements:

EDUCATION, EXPERIENCE AND QUALIFICATIONS

  • High School Diploma or General Education Degree (GED) required; some college preferred.
  • Minimum of one year outbound/inbound calling experience in a call center, medical office/clinic or institutional setting; or equivalent combination of education and experience required.
  • Healthcare experience preferred
  • Bilingual English/Spanish (Spanish Language a must)
  • Strong written and verbal communications skills
  • Professional customer service skills
  • Good overall clerical skills
  • Detail oriented and organized
  • Must be able to interact effectively with doctors, patients, vendors, peers, staff and management
  • Experience with Excel and Microsoft
Company Description
Clinicas del Camino Real, Inc. has been providing quality primary and preventative health care services to the residents of Ventura County since 1971. Starting as a "free clinic" in Santa Paula, California, Clinicas del Camino Real, Inc. now operates several health center locations within Ventura County.

One element that distinguishes Clinicas del Camino Real, Inc. from the rest is the compassion with which we deliver our services to the general and underserved population in our community. We are proud to have a family of professional and caring individuals who together comprise such a significant entity in the county of Ventura. Ever since our first health center opened its doors over forty years ago, we have continued to grow, improve and expand our services. It certainly would not be possible to accomplish this without the dedication, commitment and ownership that our workforce takes over this prestigious health care organization. If you are someone who wants to work for an organization that makes a difference and have a desire to make an impact on the wellbeing of our local community through your work, we encourage you to apply to become part of our team!

Clinicas del Camino Real

Address

730 Paseo Camarillo

Camarillo, CA
USA

Industry

Business

View all jobs at Clinicas del Camino Real