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Healthcare Customer Service Representative

TotalMed Staffing Inc. San Jose, CA
  • Expired: 20 days ago. Applications are no longer accepted.

Position - Healthcare Customer Service Representative
Address - San Jose, CA 95119
Hours – 8am -5pm (M-F)
Pay – $18/hr
Start Date – Asap


  • 2 years of healthcare customer service experience

Position Summary

This role is open for due to a project that they need completed. This person will be making outbound calls to members and having the members complete a survey


  • Act as the primary point of contact and liaison for members and providers contacting the plan regarding general inquiries, concerns or requests for information.
  • Develop a general understanding of all member facing materials, communications and interactions and be prepared to respond appropriately to follow up calls.
  • Answer inbound calls and/or place outbound calls in a high call volume environment and work directly with members and providers to accurately and completely answer inquiries involving program services and benefits.
  • Follow established guidelines and resources to respond to member and provider inquiries and resolve concerns in an accurate, timely, professional, and culturally competent manner.
  • Intake, handle and coordinate member grievances, appeals and billing issues, escalating to the Grievance and Appeals department, when necessary.
  • Educate members and providers on eligibility, and medical and pharmacy benefits and how to access services in a manner that achieves excellent service standards and maintains high customer satisfaction.
  • Use listening skills and judgment to appropriately categorize and accurately document all contacts and follow-up actions regarding member and provider communications and activities in accordance with established guidelines.
  • Appropriately handle member and provider requests through alternative channels such as e-mail, voicemail, fax, walk-in, etc. in accordance with established procedures.
  • Triage member and provider requests or inquiries for other departments.
  • Conduct member surveys as assigned in accordance with established guidelines.
  • Attend and actively participate in daily, weekly, and monthly departmental meetings, in-services, training and coaching sessions.
  • Identify member/provider issues and trends and report relevant information to management.
  • Perform other related duties as required or assigned.

TotalMed Staffing Inc.

Why Work Here?

Best of Staffing award for providing remarkable service to their talent!

In the rapidly-changing, highly regulated industry that is healthcare, you need a medical staffing partner who works for you. Enter TotalMed. We’re an award-winning medical staffing agency delivering flexible healthcare staffing solutions no matter how complex your needs. But even more than that, we’re a team who really cares. Our end goal is to achieve quality patient care while enhancing your employee morale. If you’re a healthcare professional in either clinical or non-clinical healthcare, our recruiters can help you navigate the sea of healthcare jobs, uncovering your ideal career path. Or, if you’re faced with open positions and short-staffed projects in either business care or patient care, TotalMed can provide customized medical staffing solutions to fulfill your hiring requirements.


San Ignacio Ave, San Jose, CA 95119
San Jose, CA