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Customer Service Rep
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Contractor | Business Services 2 Months Ago
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The Midtown Group is Hiring a Customer Service Rep Near Orange, CA

Department(s): Customer Service
Reports to: Supervisor, Customer Service
Salary: $21.15 - $26.83/hrDuration: up to 6 months
  • Schedule is from 8AM -5PM; Bilingual Preferred****
Job SummaryThe Customer Service Representative Sr is the first line of contact for members and providers and will assist them with questions related to the Medical programs for Orange County. The incumbent resolves member inquiries and complaints fairly and effectively. The incumbent provides information regarding eligibility, enrollment, benefits and services to eligible members and providers.
Position Responsibilities
  • Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
  • Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.
  • Addresses member inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care.
  • Verifies member eligibility, claim and authorization status for providers.
  • Responsible for thorough follow-up and completion of all member and provider inquires or requests.
  • Responsible for accurate, complete, and correct documentation into Facets regarding all issues, inquires, complaints and grievances.
  • Functions efficiently and productively in a high-volume call center.
  • Maintains departmental productivity and quality standards.
  • Provides follow-up assistance as needed.
  • Routes escalated calls to the appropriate Member Liaison Specialist, Supervisor or Call Center Manager.
  • Adheres to departmental policies and procedures.
  • Processes all member transportation request within one business day of receipt and coordinating all aspects of the process with the clinic, provider, and member as appropriate or necessary.
  • Assists members with Member Web Portal registration and technical support.
  • Interacts face-to-face with members by assisting with front desk coverage.
  • Serves as a backup for Customer Service Leads, as needed.
  • Handles and resolves escalated issues.
  • Competes other projects and duties as assigned.
Possesses The Ability To
  • Establish and maintain effective working relationships with leadership and staff.
  • Function efficiently and productively in a high-volume call center.
  • Learn procedures and regulations governing member eligibility and the terminology and documents used while remaining knowledgeable of client Health/Medical benefits and procedures.
  • Hear and speak well enough to converse on the phone and in person.
  • Understand and follow oral and written directions.
  • Speak, understand, read and/or write a second language in addition to English may be required for some assignments.
  • Communicate clearly and concisely, both orally and in writing.
  • Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems (e.g., Facets) to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.
Experience & Education
  • High School diploma or equivalent required.
    • 2 years of experience in a customer/member service or call center capacity required.
    • An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above is also qualifying.
    • Bilingual in English and in one of the defined threshold languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese) required.
Preferred Qualifications
  • 2 years of Health Maintenance Organization (HMO), Medical/Medicaid and health services experience preferred.
Knowledge Of
  • 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.
The Midtown Group is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. We are a small, woman-owned business certified by the Women’s Business Enterprise National Council (WBENC). Operating from our headquarters in Washington, DC, we provide trusted staffing services nationwide. Our clients include thousands of the most prestigious Fortune 500 companies, law firms, financial organizations, tech innovators, non-profits, and lobbying firms, as well as federal, state and local government agencies.

Job Summary

JOB TYPE

Contractor

INDUSTRY

Business Services

SALARY

$38k-48k (estimate)

POST DATE

07/23/2024

EXPIRATION DATE

09/17/2024

WEBSITE

themidtowngroup.com

HEADQUARTERS

BETHESDA, MD

SIZE

25 - 50

FOUNDED

1989

TYPE

Private

CEO

HELEN STEFAN-MOREAU

REVENUE

$10M - $50M

INDUSTRY

Business Services

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About The Midtown Group

The Midtown Group provides staffing services to government and IT sectors.

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The job skills required for Customer Service Rep include Customer Service, Call Center, Microsoft Office, Leadership, etc. Having related job skills and expertise will give you an advantage when applying to be a Customer Service Rep. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Customer Service Rep. Select any job title you are interested in and start to search job requirements.

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The following is the career advancement route for Customer Service Rep positions, which can be used as a reference in future career path planning. As a Customer Service Rep, it can be promoted into senior positions as a Customer Service Representative III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Customer Service Rep. You can explore the career advancement for a Customer Service Rep below and select your interested title to get hiring information.

If you are interested in becoming a Customer Service Rep, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Customer Service Rep for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

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Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

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Communicate as efficiently as possible.

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Don’t worry about acquiring expensive gear; focus on the learning first.

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Step 3: View the best colleges and universities for Customer Service Rep.

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