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Healthcare Call Center Agent

Ajilon

Healthcare Call Center Agent

Santa Ana, CA
Full Time
Paid
  • Responsibilities

    Job Description

    HEALTHCARE CALL CENTER AGENT (BILINGUAL REQUIRED)

    Do you have experience in the healthcare or medical industry? If so, our client is looking for a call center/customer service professional who can respond efficiently and effectively to customers and provides a positive first impression to all callers or patients. Our client offers in-house training, but we’re looking for a professional who can jump in with both feet from day one!

    REQUIREMENTS: -6 months call center experience with high call volumes or customer service experience analyzing and solving customer problems required. -HMO, Medi-Cal/Medicaid and health services experience preferred. -Principles and practices of managed health care, health care systems, and medical terminology. -Principles and techniques for handling customer service issues. -Personal computers, keyboarding, and appropriate software to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. -Customer service principles and practices.

    RESPONSIBILITIES: -Addresses member inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. -Verify member eligibility, claim and authorization status for providers. -Responsible for thorough follow-up and completion of all member, and provider inquiries or requests -Responsible for accurate, complete and correct documentation into Facets regarding all issues, and/or inquiries, complaints and grievances. -Function efficiently and productively in a high-volume telephone call center. -Maintain departmental productivity and quality standards. -Provide follow-up assistance as needed. -Route escalated calls to the appropriate Member Liaison, Supervisor or Call Center Manager -Refer issues to health networks and/or make recommendations for further contacts. -If designated, responsible for processing all member transportation request within 1 business day of receipt and coordinating all aspects of the process with the clinic, provider and member as appropriate or necessary -Adhere to company and departmental policies and procedures. -Assists members with Member Web Portal registration and technical support.

    BILINGUAL REQUIRED: Must be fluent in one of these languages -Spanish -Vietnamese -Mandarin -Korean -Arabic

    EXPERIENCE: 6 months call center experience with high call volumes or customer service experience

    COMPENSATION: $13.00- $16.00 per hour DOE

    SCHEDULE: 8 am to 5:30 pm, Monday to Friday, Full Time

    DURATION: This is a contract to hire opportunity

    Please send resume to Emily.Swift@Ajilon.com if you feel that this position is a match. Please submit your resume today! For more open positions, visit the Ajilon website at www.ajilon.com

    Company Description

    At Ajilon, we are a leader in temporary and permanent recruitment and the placement of top talent. Our areas of specialty include organizational leadership and support positions in HR, non-clinical healthcare, office administration and more. With over 70 offices in North America, we have the resources and the technology to offer job seekers and employers greater flexibility, making it possible for us to work with them in the way that works best for them. We seek to completely understand the short- and long-term goals of our clients and candidates — this enables us to consistently act in their best interests. Through our job market insight and niche industry expertise, we help job seekers and employers find their best fit.

  • Industry
    Hospital and Health Care