Job Opening: Customer Service Representative

Job Description

The Foundation for Medical Care of Kern County and HealthEdge Administrators is excited to announce a new opportunity for a Customer Service Representative. This full-time job serves a pivotal role within our company and this position is designed for individuals seeking a career that is both challenging and fulfilling. This is not a remote job. While there may be some work-from-home opportunities, the selected candidate will need to work onsite in our Bakersfield, CA office.

The successful applicant will be the first point of contact for our members, providers, and business partners. This role requires a strong commitment to providing exceptional service, managing queries with efficiency and empathy, and maintaining the highest standards of professional communication. If you are passionate about making a difference in the healthcare sector and possess the necessary qualifications, we encourage you to consider this crucial position within our team!

Our work environment includes:

• Modern office setting
• Work-from-home days
• Growth opportunities
• On-the-job training
• Relaxed atmosphere
• Regular social events

Duties and Responsibilities

• Act as the first point of contact for members, providers, and business partners, offering support and resolving queries related to benefits, claims, eligibility, and billing.
• Evaluate customers' needs and provide detailed information and education on a variety of medical plans.
• Ensure the prompt and accurate resolution of customer inquiries in a fast-paced call center environment.
• Communicate effectively with other teams and departments to facilitate comprehensive support for all customer inquiries.
• Maintain strict confidentiality at all times to ensure that members' Protected Health Information (PHI) is secure.
• Document all calls and interactions accurately for recordkeeping and to ensure clarity and direction in case follow-up actions are necessary.
• Provide consistent, courteous, and professional customer service, enhancing the reputation and operational performance of the Foundation.
• Participate in training sessions to remain updated on new system tools, features, and updates in healthcare regulations.
• Collaborate with team leaders and managers to discuss ways to improve service delivery and customer experience.

Requirements

• High School Diploma or equivalent required.
• Minimum two years of call center or heavy phone usage experience required.
• Minimum two years of professional experience in a medical office environment is required, bringing an understanding of healthcare operations and patient interaction.
• Healthcare industry experience, with a comprehensive understanding of medical insurance, basic medical terminology, and procedures.
• Must possess high-level professionalism and strong computer skills for handling complex customer inquiries and system documentation.
• Bilingual competencies are a plus, easing communication with a diverse clientele.
• Must be prepared to handle sensitive information, maintaining the highest level of confidentiality regarding Protected Health Information (PHI).