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Word & Brown Companies

Correspondence Representative II - Remote

Career Insights for Healthcare Customer Service Representative

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What they do

A Healthcare Customer Service Representative responds to customer inquiries about healthcare and provides information about healthcare plans, providers, policies and coverage. Assists customers with questions about healthcare insurance and premiums. Keeps records of customer communications and transactions.

$45,587 / year median in the U.S.

-11% projected decline

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Job Description

Correspondence Representative II - Remote Word & Brown Companies Orange, CA Job Details Temporary | Full-time $22.50 an hour 3 hours ago Benefits Health insurance Dental insurance Paid time off Vision insurance 401(k) matching Professional development assistance Referral program Qualifications Microsoft Excel Microsoft Outlook Phone communication Customer service Microsoft Publisher Visio English High school diploma or GED Attention to detail Data entry Organizational skills SharePoint Typing Phone etiquette Quality data entry Office experience Client interaction via phone calls Full Job Description

•This is a Temporary position

Purpose of Position:

Send written correspondence and communicate with clients via phone to obtain, review and process enrollment materials for participants of CaliforniaChoice.

Essential Functions:

Expert knowledge of all MPC Enrollment Rep I duties. Demonstrate knowledge of Correspondence duties as determined by department assessment as well as the following: Understand company policies and procedures as they apply to CaliforniaChoice plans. Responsible for the review and processing of the following forms including but not limited to: Employee Applications Change Request Forms Employee Termination Forms Web Based Forms Identify and obtain missing/incomplete information on forms based on guidelines and standard operating procedures. Follow the department Pending Item process Compose clear and concise written correspondence (i.e. pending item requests, denials, confirmations, memos, letters, etc.). Place outbound calls to obtain missing/incomplete information on forms. Maintain working knowledge of all products and systems used for job function (i.e. Pegasus, doc-link, SharePoint, etc.) Enter appropriate comments in a clear and succinct manner into Pegasus and/or Doc-Link. Meet department standards for quality and quantity of work. Maintain department and team standards for turnaround times. Adhere to all PHI (Personal Health Information) guidelines Assist with departmental training needs as needed Other duties as assigned by the Leadership Team On-site regular attendance and punctuality are essential functions of the job. Performs other business tasks or functions as assigned. Qualifications /

Requirements:

Customer Service and Phone Etiquette experience a must. Strong communication skills (written, grammatical and verbal) required. Ability to interact and communicate effectively with all levels of employees and customers. Must have strong attention to detail. Strong analytical skills and problem solving skills. Ability to perform in a fast-paced, deadline-oriented work environment. Excellent customer service and organizational skills. Able to build/gain commitment and overcome resistance to change. Ability to retain large quantities of information. Accurately type a minimum of 50 WPM. Proficient with Microsoft Office software (Access, Word, Excel, PowerPoint, Visio, Publisher, SharePoint, Outlook), web based technology. Must be highly motivated, have ability to take initiative, be accountable, have excellent interpersonal, and service oriented skills. Knowledge of the healthcare industry a plus.

Experience Requirements:

3+ years of office and/or customer service experience required and at least one year of data entry experience.

Educational Requirements:

High school diploma or equivalent.

Physical Requirements :

Must be able to sit for extended periods of time with occasional standing and walking. Must have adequate hearing for phone work. Vision requirements include close vision and the ability to adjust focus. Must be able to use a keyboard and other office equipment. Ability to lift up to 10 lbs. occasionally.

Pay:

$22.50 per hour

Benefits:

401(k) matching Dental insurance Health insurance Paid time off Professional development assistance Referral program Vision insurance

Education:

High school or equivalent (Required)

Experience:

Customer service: 3 years (Required) Phone etiquette: 3 years (Required) Data entry: 3 years (Required)

Language:

English (Required)

Location:

Orange, CA (Required)

Work Location:

Remote