Customer Solution Center Service Representative I

Job Category:  Customer Service
Department:  Customer Solution Call Center (321)
Location: 

Los Angeles Garland, California, US

Position Type:  Full Time
Requisition ID:  498

Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members in five health plans, we make sure our members get the right care at the right place at the right time.

Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.

DUTIES
Successful completion of the Customer Solution Center 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. 

This position handles 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 PCP changes, triage of calls to appropriate unit. 

QUALIFICATIONS AND REQUIREMENTS

EDUCATION
Required
High School Diploma

Preferred:
Associates Degree

EXPERIENCE
Required
With High School Diploma: 2 years customer service telephone healthcare experience.

With Associate Degree: 1 year customer service experience telephone healthcare experience.

Data entry experience with ability to type a minimum of 40 wpm. Ability to answer a high volume of calls; previous ACD experience preferred. 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. 
The member services representative will perform various functions including answering calls, conducting outreach activities and performing various data entry functions. 

Highly Preferred: 
Bilingual in one of L.A. Care Health Plan’s threshold languages:  
English, Spanish, Chinese, Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese

L.A. Care offer a wide range of benefits including

  • Paid Time Off (PTO)
  • Tuition Reimbursement
  • Retirement Plans
  • Medical, Dental and Vision
  • Wellness Program


Job Segment: Customer Service Representative, Medical, Data Entry, Customer Service, Healthcare, Administrative