AgreeYa Solutions Hiring for CSR – Customer Service Representative Job at Los Angeles, CA Full Time

100% Remote- will have to go Los Angels CA on 1st day to receive equipment and for orientation.

One phone interview with Hiring Manager

Job Summary

The Customer Solution Center Services Representative I is responsible for a successful completion of the Member Services training program and continues to gain strong knowledge of healthcare and various managed care product lines, Medi-Cal, PASC and Healthy Kids and medical terminology. The Customer Solution Center Services Representative I handle first level calls involving member eligibility verification, general program and administration questions, knowledge of at least one product or call skillset. Direct member request for I.D. cards and Primary Care Provider (PCP) changes, triage of calls to appropriate unit.

Education

· Required High School Diploma/or High School Equivalency Certificate

Experience

· Required: At least 0-6 months customer service telephone experience in a healthcare environment.

· Data entry experience with ability to type a minimum of 40 word per minute.

· Preferred: Previous ACD experience.

Skills

· Required: Ability to answer a high volume of calls.

· Knowledge of medical terminology.

· Must be a strong team player, punctual, and has excellent attendance record.

· Good understanding of service to the disadvantaged population, seniors and or people with chronic conditions or disabilities.

· Must be a quick learner, excellent team player and customer service oriented.

· Preferred: Bilingual in one client’s threshold languages is highly desirable. English, Spanish, Chinese, Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese.

Job Duties

· Answers incoming first level calls from members, potential members, providers and advocates.

· Handle and resolve member issues or assist members in connecting with internal units or external parties such as Plan Partners Primary Care Physician (PCP) offices, pharmacists, etc.

· Provides essential information to members regarding access to care issues.

· Coordination of care issues, benefits, Evidence of Coverage (EOC), Member Handbook, etc.

· Assists providers in using the Interactive Voice Response (IVR) web portal and verifying member eligibility. (40%)

· Documents all calls via the member data base systems. (AEVS/MEIS/ QMEIS). (20%)

· Works with Member Relations Specialist to assist members with complex issues and coordination of care issues within Plan Partners. Troubleshoots and directs calls to the appropriate departments. (10%)

Job Types: Contract, Temporary

Salary: $20.00 – $23.00 per hour

Schedule:

• 8 hour shift

Experience:

• Call center: 1 year (Required)
• Customer service: 1 year (Required)
• Healthcare & Medical Insurance Remote Customer Support: 1 year (Required)

Work Location: One location