Temp Customer Services Representative I

Essential Duties And Responsibilities

• Act as the primary point of contact and liaison for SCFHP members and providers.
• Answer inbound calls and/or place outbound calls in a high call volume environment.
• Respond to member and provider inquiries and resolve concerns in a timely and professional manner.
• Educate members and providers on eligibility and benefits.
• Triage member and provider requests or inquiries for other departments.
• Conduct member surveys as assigned.
• Attend and participate in departmental meetings and training sessions.
• Identify and report relevant information about member/provider issues and trends to management.

Requirements

• High School Diploma or GED.
• Minimum one year of experience in Customer Service or Call Center role, preferably within a Health Care, Public Assistance or Human Services programs.
• Prior experience with managed care plans, Medi-Cal and Medicare programs, and working with underserved populations.
• Spanish, Vietnamese, Chinese, or Tagalog language bi-lingual skills.
• Working knowledge of and the ability to efficiently operate all applicable computer software including computer applications, such as Outlook, Word and Excel.
• Excellent communication skills including the ability to express oneself clearly and concisely when providing service to SCFHP Plan members and providers over the telephone, in person or in writing.
• Ability to think and work effectively under pressure and accurately prioritize and complete tasks within established timeframes.
• Ability to assume responsibility and exercise good judgment when making decisions within the scope of the position.
• Ability to maintain confidentiality.
• Ability to comply with all SCFHP policies and procedures.
• Ability to perform the job safely with respect to others, to property, and to individual safety.