Johnson Service Group (JSG) is seeking Bilingual Spanish Customer Service Representatives for Healthcare benefits, eligibility and claims.
This is a remote position in California.
Days/Hours: Monday- Friday 8:00am- 5:00 pm PST (OT or weekends: as needed)
Hourly Rate: $20.00 per hour Job Description Summary:
Under the direction of the Senior Supervisor, Customer Service, the bilingual Child Care Providers United (CCPU) customer service representative provides consultive telephonic and web-based assistance to Child Care Providers, Agents, and Enrollment Specialists in the Health Benefits Exchange administration. In addition, the incumbent will provide customer service support to individuals by instructing them on correct eligibility management procedures and troubleshooting application issues and concerns. This position is also responsible for responding to general customer inquiries regarding insurance benefits, provider contracts, eligibility, and claims in a confidential, professional, and ethical manner.
Qualifications
High School diploma or GED and a minimum of one (1) to three (3) years of experience in customer service within a call center environment preferred.
Excellent oral and written communication skills in English and Spanish, required.
Comprehensive command of the Spanish language with the ability to utilize it up to 35% of the time.
Knowledge of Health Benefits, eligibility, application, and enrollment processes preferred.
Knowledge of government regulations, federal states, and local health benefits programs preferred.
Good communication and telephone skills with a clear and concise speaking voice.
Demonstrated ability to learn new software and navigate multiple systems at once.
Moderate computing and keyboarding skills, including proficiency with Customer Relationship Management (CRM) software.
Ability to retain and apply knowledge of the various operations, products, and services of the organization, to provide excellent customer service support.
Ability to adapt to a constantly changing environment.
Proficient organizational and time management skills.
Ability to retain and apply knowledge of the various operations of the organization, products, and services to provide excellent customer service support.
Internet access provided by a cable or fiber provider with 40 MB download and 10 MB upload speeds.
Home router with wired Ethernet (wireless connections and hotspots are not permitted).
A designated room for your office or steps taken to protect company information (e.g., facing computer towards wall, etc.
Duties And ResponsibilitiesCustomer Advocate
Foster and build good working relationships with Providers, Agents, Certified Enrollment Counselors, and federal and state agency contacts.
Respond to customer questions telephonically or in writing regarding insurance benefits, provider contracts, eligibility, and claims confidentially, professionally, and ethically.
Research and resolve aged customer service open calls within company standards.
Obtain and extract information from the Health Care Processing System (HCPS) and other systems.
Develop and maintains positive customer relations and coordinate with various departments to ensure customer requests and questions are handled appropriately and promptly.
Be accountable and resolve issues by measuring impact, improving, and correcting course.
Adhere to the call center’s quality assurance guidelines to ensure best-in-class service is provided during all interactions.
Call Center Support
Thoroughly document information, activities, inquiry outcomes, and changes in the database for accurate tracking and analysis.
Research and analyze data to address operational challenges and customer service issues.
Provide external and internal customers with the requested information.
Communicate with the appropriate departments and identifies service issues.
Identify inefficiencies within the established processes and suggest possible solutions to save time, reduce risk, and reduce expenses.
Meet and maintain all KPIs to support the department service metrics and performance objections.
Other
Maintain regular attendance
Maintain internet speed of 40 MB download and 10 MB upload and router with wired Ethernet.
Maintain a HIPAA-compliant workstation and utilize appropriate security techniques to ensure HIPAA-required protection of all confidential/protected client data.
All other duties as assigned.
** Johnson Service Group (JSG) is an Equal Opportunity Employer. JSG provides equal employment opportunities to all applicants and employees without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, disability, marital status, protected veteran status, or any other characteristic protected by law.
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