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Health Plan of San Joaquin/Mountain Valley Health Plan
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Health Plan of San Joaquin/Mountain Valley Health Plan
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Customer Service Representative
$41k-52k (estimate)
Full Time 1 Day Ago
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Health Plan of San Joaquin/Mountain Valley Health Plan is Hiring a Customer Service Representative Near French Camp, CA

The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.
We are hiring a Customer Service Representative to join our team!
What You Will Be Doing: Under direct supervision, responsible for responding to and resolving a variety of inquiries, requests, and issues from external and internal customers in a call center environment.
Must reside in California, Remote
Location: French Camp
Our Vision: Continuously improve the health of our community.
Our Mission: We provide healthcare value and advance wellness through community partnerships.
Essential Functions:
  • Provides information on benefits, eligibility, claims, authorizations, and other related items over the phone and in person.
  • Researches and resolves issues related to claims and authorizations, monitors progress.
  • Researches and resolves comp lex eligibility issues, monitors progress.
  • Creates required documentation, including but not limited to call logs and other t racking systems.
What You Bring: Knowledge, Skills, Abilities and Competencies Required
  • Ability to efficiently and effectively handle calls of heavy volume (50-100 per day), including documentation and resolution.
  • Produces work that is accurate and complete.
  • Actively learns through experimentation when tackling new problems, using both successes and failures to learn.
  • Rebounds from setbacks and adversity when facing difficult situations.
  • Knows the most effective and efficient process to get things done, with a focus on continuous improvement.
  • I nterpersonal skills - interacts effectively with individuals both inside and outside of HPSJ; relates openly and comfortably with diverse groups of people.
  • Strong oral and written communication skills, with ability to express self clearly and professionally, and document according to standards.
  • Strong listening skills, with the ability to accurately receive and understand messages.
  • Basic conflict resolution skills, with the ability to use tact and diplomacy to diffuse emotional situations.
  • Ability to work independently and as part of a team.
  • Demonstrates a commitment to HPSJ’s strategy, vision, mission, and values.
  • Ability to read, understand and apply complex written guidelines, instructions, and other materials.
  • Ability to compare and discern the difference between multiple sets of data or information.
  • T ime management and organizational skills. Uses time effectively and efficiently. Values time. Concentrates his/her efforts on the more important priorities. Can attend to a broader range of activities. Meets deadlines.
  • Basic problem solving and analytical skills, including the ability to perform routine analysis and solve problems using identified data and information.
  • Basic arithmetic skills.
  • Basic knowledge of contact center systems.
  • Basic skills in Windows, Word, Excel, and Outlook.
  • Ability to navigate multiple systems and resources simultaneously.
  • Ability to type 45 WPM at 90%.
  • Ability to handle confidential information with appropriate discretion.
  • Ability to speak and be understood in English.
  • Proficiency (as defined by HPSJ’s Cultural and Linguistics Program) in one of HPSJ’s threshold languages may be required, depending on business requirements.
What You Have: Education and Experience Required
  • High school diploma or general education degree; and
  • At least one year handling heavy cal l volume (50-100 calls per day).
Preferred
  • As sociate’s Degree
  • Experience in c ustomer service in a health plan, managed care and/or Medi-Cal.
Licenses, Certifications Valid California driver license and reliable transportation or, the ability to obtain transportation on demand in the counties served by HPSJ if prohibited from getting a driver license due to a medically documented disability.
HPSJ Perks: What You Will Get:
  • Competitive salary
  • Robust and affordable health/dental/vision with choices in providers
  • Generous paid time off (starting at 3 weeks of PTO, 4 paid floating holidays including employee’s birthday, and 9 paid holidays)
  • CalPERS retirement pension program, automatic employer-paid retirements contributions, in addition to voluntary defined contribution plan
  • Two flexible spending accounts (FSAs)
  • Employer-Paid Term Life and AD&D Insurance
  • Employer-Paid Disability Insurance
  • Employer-Paid Life Assistance Program
  • Health Advocacy
  • Supplemental medical, legal, identity theft protection
  • Access to exclusive discount mall
  • Education and training reimbursement in addition to employer-paid elective learning courses.
  • A chance to work for an organization that is mission-driven – our members and community are at the core of everything we do.
  • A shorter commute ­– if you’re commuting from the Central Valley to the Bay Area.
  • Visibility and variety – you have a chance to work with people at all levels of the organization, and work on diverse projects.
We are an equal opportunity employer and diversity is one of our core values. We believe that differences including race, ethnicity, gender, sexual orientation and other characteristics, will help us create a strong organization that is sensitive to the needs of those we serve. Employment decisions are made on the basis of qualifications and merit.
HPSJ provides equal employment opportunities to employees and applicants for employment and prohibits discrimination based on color, race, gender (including gender identity and gender expression), religion (including religious dress and grooming practices), marital status, registered domestic partner status, age, national origin (including language use) or ancestry, physical or mental disability, medical condition (including cancer and genetic characteristics), sex (including pregnancy, childbirth, breastfeeding or related medical condition), genetic information, sexual orientation, military or veteran status, political affiliation or any other characteristic made unlawful by applicable Federal, State or local laws. It also prohibits unlawful discrimination based on the perception that anyone has these characteristics, or is associated with anyone who has or is perceived to have these characteristics.
Important Notice : This job description is not a contract between HPSJ and the employee performing the job. The duties listed in the job description may be changed at the discretion of HPSJ, and HPSJ may request the employee to perform duties that are not listed on the job description.

Job Summary

JOB TYPE

Full Time

SALARY

$41k-52k (estimate)

POST DATE

06/29/2024

EXPIRATION DATE

07/20/2024

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The job skills required for Customer Service Representative include Customer Service, Call Center, Problem Solving, Written Communication, Listening, etc. Having related job skills and expertise will give you an advantage when applying to be a Customer Service Representative. 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 Representative. Select any job title you are interested in and start to search job requirements.

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