The judge Group is currently seeking a Member Service Representative for a fantastic Healthcare facility in Rancho Cucamonga, CA
This job will have the following responsibilities:
Provide Member’s with health plan education regarding Medi-Cal benefit coverage, including understanding coordination of benefits and eligibility rules.
Provide superior service that delights caller in all aspects of the interaction including:
Ensure the privacy and security of PHI (Protected Health Information) as outlined in Company policies and procedures relating to HIPAA compliance. Demonstrate a commitment to understand and adhere to the Regulatory requirements as they relate to the business unit.
Preserve Member’s confidentiality by authenticating callers
Ensure timely work action on all Activities and Cases. Submit daily updates on aged Activities or Cases to management.
Qualifications & Requirements:
Bilingual (Spanish) a plus.
Medi-Cal program and benefit requirements experience desired. HMO or Managed Care Experience preferred.
A minimum of 1-year call center experience in a customer services setting preferred. May substitute with 2 years of experience in a medical or hospitality setting.
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Job ID: 619918
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The Judge Group is a privately owned, leading professional services firm with nearly 50 years of experience in providing technology, talent, and learning solutions. Our services are successfully delivered through a network of more than 35 offices in the United States, Canada, and India. The Judge Group serves more than 47 Fortune 100 companies and is responsible for 7,000 professionals on assignment annually across a wide range of industries.