Bilingual Loss Mitigation Specialist
CarringtonCrisp
Member Services Representative, Bilingual
IEHP
full-time
Posted on:
Location Type: Hybrid
Location: Rancho Cucamonga • California • 🇺🇸 United States
Visit company websiteSalary
💰 $23 per hour
Job Level
Junior
About the role
- Provide Members with health plan education in regard to and Medi-Cal benefit coverage, including understanding coordination of benefits and eligibility rules.
- Meet IEHP and Member Services Call Center standard and policy requirements.
- Provide superior service that delights caller in all aspects of the interaction including: Strive to assist caller on the first point of contact.
- Assist with Member primary care/facility assignments, selections, and changes; health care options liaison; health education advisory; supply eligibility status of Members to providers.
- Document accurately while speaking with the caller.
- Complete Member Satisfaction Surveys and Assessments, as needed.
- Coordinate telephonic translation of calls when Members do not speak English or Spanish.
- Ensure key performance indicator goals are met monthly.
- Demonstrate a commitment to understand and adhere to the Regulatory requirements as they relate to the business unit.
Requirements
- One (1) year of Customer Service experience analyzing and solving customer problems
- High school diploma or GED required
- Bilingual required.
- HMO or Managed Care Experience preferred
- One (1) year call center experience in a customer service setting preferred
- Medi-Cal program and benefit requirements experience preferred
- Proficiency in Microsoft Office Suite and Windows based programs
- Typing Minimum 35 wpm, good grammar and spelling skills are necessary
- Excellent oral communication skills
Benefits
- CalPERS retirement 457(b) option with a contribution match
- Generous paid time off- vacation, holidays, sick
- State of the art fitness center on-site
- Medical Insurance with Dental and Vision
- Paid life insurance for employees with additional options
- Short-term, and long-term disability options
- Pet care insurance
- Flexible Spending Account – Health Care/Childcare
- Wellness programs that promote a healthy work-life balance
- Career advancement opportunities and professional development
- Competitive salary with annual merit increase
- Team bonus opportunities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
customer servicecall center experienceMedi-Cal programtypingMicrosoft Office SuiteWindows based programsproblem solvinggrammar skillsspelling skillsbilingual
Soft skills
oral communicationsuperior servicecommitmentdocumentationcustomer satisfactioncoordinationeducation advisoryfirst point of contactinterpersonal skillsorganizational skills
Certifications
high school diplomaGED
