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Partnership HealthPlan of California · 2 hours ago

Customer Service Representative, CC

Redding, CA

Full-time

Onsite

Mid Level

$28.94/hr - $34/hr

3+ years exp

Partnership HealthPlan of California is seeking a Customer Service Representative to respond to member and provider inquiries regarding case management. The role involves providing high-quality customer service, managing calls, processing referrals, and collaborating with various stakeholders to resolve issues.

Health CareInsuranceNon Profit

Culture & Values

Responsibilities

Supports the Care Coordination Department by answering the ACD telephone line, determining call urgency and routing calls appropriately

Responds to member and provider issues and questions received through the Care Coordination ACD line

Provides excellent customer service and communicates with others in accordance with PHC standards and expectations

Communicates clearly and effectively through all mediums of communication with members, providers, vendors, community partners, and PHC employees

Responds to inquiries in a timely manner

Documents calls as appropriate

With direction, initiates and processes referrals to appropriate programs in accordance with department policies, and communicates referral outcomes to referral source

Works with internal departments, providers, and external organizations to resolve issues as needed

Manages the Care Coordination regional helpdesk and routes emails or enters referrals appropriately

Other duties as assigned

Provide support and assistance to coordinators and health care guides as needed

Qualification

Customer service skillsCommunication skillsAdvanced computer skillsBilingual skillsOrganizational skills

Required

High School Diploma or equivalent

Minimum three years Administrative Experience Required

Two (2) Years Of Experience working in a health care setting recommended

Strong written and oral communication skills

Advanced computer skills, including proficiency in multiple software applications including Microsoft Office Suite and SharePoint

Strong organizational and multitasking skills

Excellent interpersonal and customer service skills

Must be able to work in a fast-paced environment and maintain courtesy and composure when dealing with internal and external customers

Ability to function effectively with frequent interruptions and direction from multiple team members

More than 50% of work time is spent using a desktop computer

When necessary, the ability to lift, carry, or move manuals and reports, weighing up to 25 lbs

Preferred

Bilingual skills in Spanish, Tagalog, or Russian may be preferred

Company

Partnership HealthPlan of California

Partnership HealthPlan of California is a non-profit community-based health care organization that contracts with the state to administer Medi-Cal benefits through local care providers to ensure Medi-Cal recipients have access to high-quality comprehensive cost-effective health care.

Founded in 1994

Fairfield, California, USA

1001-5000 employees