Demo

Customer Service Representative

Cogent Infotech Corporation
Orange, CA Contractor
POSTED ON 2/23/2025
AVAILABLE BEFORE 3/22/2025

Title: Customer Service Representative
Location:
Orange County CA 92868
Duration: Contract (6 Month)

ONSITE

 

Description of Work:
 

Responsibilities:

  • 80% - Program Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Maintains departmental productivity and quality standards. Follows through on and completes all member and provider inquiries or requests during the original member and provider interaction. Serves as a resource for other team members.
  • Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
  • Maintains departmental productivity and quality standards.
  • Follows through on and completes all member and provider inquiries or requests during the original member and provider interaction.
  • Serves as a resource for other team members.
  • 15% - Administrative Support 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 and provider inquiries, questions and concerns in all areas including eligibility, enrollment, claims or authorization status, benefit interpretation and referrals/authorizations for medical care in-person or telephonically.
  • Enters accurate and complete documentation into internal application systems regarding all concerns and/or inquiries from the member and provider interaction. Communicates, builds and maintains internal and external relationships by prompt and accurate service delivery. Identifies and communicates challenges that might arise with the use of professional judgment while adhering to departmental policies and procedures.
  • 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 and provider inquiries, questions, and concerns in all areas including eligibility, enrollment, claims or authorization status, benefit interpretation, and referrals/authorizations for medical care in-person or telephonically.
  • Enters accurate and complete documentation into internal application systems regarding all concerns and/or inquiries from the member and provider interaction.
  • Communicates, builds, and maintains internal and external relationships by prompt and accurate service delivery.
  • Identifies and communicates challenges that might arise with the use of professional judgment while adhering to departmental policies and procedures.
  • 5% - Completes other projects and duties as assigned.

 

Minimum Qualifications:

  • A high school diploma or equivalent PLUS 6 months of experience in a call center capacity is required; an equivalent combination of education and experience sufficient to successfully perform the position's essential duties, such as those listed above, may also qualify.
  • A typing speed of 35 words per minute (WPM) is required.  

 

Preferred Qualifications:

  • 6 months of Medi-Cal/Medicaid or health services experience.

 

 

Cogent is an equal-opportunity employer. Cogent will not discriminate against applicants or employees based on race, color, religion, national origin, age, sex, pregnancy (including childbirth or related medical condition), genetic information, sexual orientation, gender identity, military status, citizenship, or any other class protected by applicable law.

Salary : $26

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