Customer Service Representative

Why should you consider a career with Colorado Access?   We are a Colorado-based company, working to improve the health of our state. We care for individuals, families, and children who receive health care under Child Health Plan Plus (CHP ) and Health First Colorado (Colorado's Medicaid Program). Our focus is driving improvements in quality, member experience, outcomes, and cost. We are a mission-driven organization whose foundation is built by our vision, supported by our values and pillared by diversity, equity and inclusion.   Find work/life balance:  We offer PTO, floating holidays, seven company paid holidays, a hybrid work environment, an Employee Assistance Program and a 401K. Be a part of something bigger and make an impact: We serve the underserved and most vulnerable populations in our community through access to quality and affordable health care. No matter what you do for Colorado Access, you are impacting our community and making a difference. Sharpen your skills, learn, and grow: We support your continued development through tuition reimbursement, leadership training, promotion opportunities, performance evaluations, employee recognition, and a language pay stipend.   What you will do:   We are looking for an Customer Service Representative who can help shape our vision and support our mission. Here is what the day-to-day functions will look like:   Answers incoming calls, demonstrating a customer-focused philosophy for all customers including, but not limited to, providers, members, potential members, state agencies and other internal and external customers.  Researches, resolves and documents customer inquiries, concerns and issues.  Provides accurate information and education for all inquiries.  Conducts outgoing calls to customers for follow-up, benefit information, member and provider retention, claims, and other inquiries as needed. Utilizes resource materials, policies and procedures, handouts, databases, training opportunities and multiple systems to help with day to day activity. Consistently meets or exceeds performance, quality and customer service standards as assigned by the department management team. Provides clear and thorough documentation into our CRM tool for each call received. This position also includes following a daily schedule for breaks and lunches. Regular attendance and punctuality are essential functions of the job.      What you will bring:   Education: High school diploma or equivalent required.   Experience:  Minimum 2 years customer service experience, and medical insurance and Medicare and Medicaid eligibility and enrollment preferred. Bilingual in English/Spanish highly preferred.    Knowledge, Skills, and Abilities: Ability to work within a call center environment and answer inquiries in a professional manner.  Requires the ability to identify and appropriately handle grievances and appeals, and to facilitate quality outcomes and/or resolutions for the benefit of all applicable parties.  Demonstrates support for the company’s mission, vision and values.  Position requires strong written and verbal communication skills, proven problem-solving skills, attention to detail, organizational and time management skills and ability to handle multiple priorities.  Must have strong computer skills, ability to work with Microsoft Office products and navigate multiple databases and electronic records.  May be required to manage multiple priorities and projects with tight deadlines.    Licenses/Certifications: A valid driver's license and proof of current auto insurance will be required for any position requiring driving.      Together we will be: an innovative and collaborative team who supports each other, the employees and vision of the company to reach our goals individually, together and as an organization.     Pay, Perks and Benefits at Colorado Access:   The compensation for this position is $50,000.00 to $52,000.00 and is a non-exempt (hourly) position.  Colorado Access has provided a compensation range that represents its good faith estimate of what Colorado Access may pay for the position at the time of posting. Colorado Access may ultimately pay more or less than the posted compensation range. The salary offered to the selected candidate will be determined based on factors such as the qualifications of the selected candidate, departmental budget availability, internal salary equity considerations, and available market information, but not based on a candidate’s sex or any other protected status.   In addition to being part of a mission driven organization serving our community, as an eligible Colorado Access employee, you’ll receive a generous benefits package, that includes:   Medical, dental, vision insurance that starts the first day of the month following start date.  Supplemental insurance such as critical illness and accidental injury.  Health care and dependent care flexible spending account options. Employer-paid basic life insurance and AD&D (employee, spouse and dependent).  Short-term and long-term disability coverage. Voluntary life insurance (employee, spouse, dependent). Paid time off Retirement plan Tuition reimbursement (based on eligibility).  Annual bonus program (based on eligibility, requirements and performance).   Where you will work:   This position will be a hybrid model work environment, a blend of ‘In-Office’ and ‘Remote.’     We are not able to support out of state employees at this time as we continue to serve our members and community in the metro Denver area and across the beautiful state of Colorado.

Salary : $50,000 - $52,000