Customer Service Representative - CHOC MSO
Rady Children's Hospital-San Diego is seeking a Customer Service Representative to join their team. The role involves supporting relationships with members, providers, and health plans, providing timely resolution of issues and answering questions. This position offers an opportunity to learn and grow within the medical insurance industry.
Responsibilities
- Answering calls from provider offices and members of the medical group
- Performing PCP assignment updates
- Providing or scheduling translation services
- Data entry of authorization requests
- Authorization processing
- Researching and responding to provider calls regarding authorization or claim payment status
- Any other questions they may have
Skills
- High School graduate, GED, or Equivalent
- 1 year of experience (Bachelor's degree considered in lieu of experience)
- Excellent communication and interpersonal skills
- Knowledge of medical terminology, ICD-10 codes, CPT Codes, HCPC Codes, Health Plan benefits, or claims
- Positive, friendly demeanor
- Superb listening skills with natural curiosity
- Strong time management and multi-tasking ability with attention to details
- Outstanding communication skills, both verbally and in writing
- Patience, compassion, and empathy
- Masterful problem-solver
- Motivation to meet (or exceed) service goals
- Bachelor's Degree
- Previous experience in the health care field, such as hospital, medical group, health insurance, or other Risk Bearing Organization (RBO)
- Computer skills, including Excel, EZ Cap, Word, Outlook, and data entry systems
Benefits
- Full time with benefits
- Generous paid time off
- Optional overtime
Company Overview
Company H1B Sponsorship