POSITION SUMMARY:The MHT Customer Service Representative is responsible for answering phone calls in a prompt and courteous manner to achieve contractual obligations. Responsible for answering Member's and Provider's questions related to Medicaid/CHIP with a quick and accurate response. They are also responsible for timely completion of all correspondence and reporting functions associated with the Customer Service Department. QUALIFICATIONS REQUIRED: (Education, Experience, Skills)
High School Graduate:
Strong ability to relate with a variety of people in a non-judgmental manner
Strong organizational, verbal and written communication skills
Possess some knowledge of the health care system
Personal Computer (PC) and Keyboard skills
Proper usage of the English Language
Courteous manner/even temperament
Excellent communication skills
QUALIFICATIONS DESIRED: (Education, Experience, Skills)
Previous call center experience
College degree
Previous Government program experience
Medical Terminology
CPT and ICD-10 Coding
Familiar with medical and hospital claims
Familiar with Prescription Coding (NDC)
Familiar with Coordination of Benefits Ruling
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:
Takes an average of 40-60 calls daily
Has established adequate proficiency in using the application necessary to perform the functions of a Customer Service Representative
Maintains monthly monitoring score of 95% accuracy or above on the 17 Points of Excellence
Demonstrates a complete understanding of departmental policies and procedures
Able to perform assigned tasks with minimal supervision
Meets requirements on annual performance evaluation
Consistently displays a positive attitude and acceptable attendance
Increasing improvement in performance and job knowledge
Documents calls according to departmental guidelines
** We have found that using GPS sometimes doesn’t make it easy to find us, however, you should see our Logo on the Windows of the buildings first floor. We are near a restaurant called First Watch and there is another restaurant on the corner called Black Sheep Burrito. You should see street parking and there is also a big parking garage as well.
Pay Details: $17.75 per hour
Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.
Equal Opportunity Employer/Veterans/Disabled
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The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
- The California Fair Chance Act
- Los Angeles City Fair Chance Ordinance
- Los Angeles County Fair Chance Ordinance for Employers
- San Francisco Fair Chance Ordinance