California Licensed Customer Service Rep

Job Summary

A company is looking for a Senior Customer Service Representative.

Key Responsibilities

• Receive and record customer concerns via phone, resolving issues in accordance with corporate guidelines
• Function as a liaison between physicians, health plans, and IPA staff while logging issues for resolution
• Participate in telephonic surveys and maintain minimum quality standards for calls received

Required Qualifications

• High School Diploma / GED or equivalent work experience
• Must be 18 years of age or older
• 1+ years of experience in a Medicare and HMO environment
• 1+ years of claims processing or customer service experience
• Experience interpreting provider and health plan contracts