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Customer Service Representative

San Diego, CA, United States

Status:

Open

Union Code:

-

Profession:

Non-Clinical - Administrative

Specialty:

Customer Service Representative

Unit:

CHOC MSO-CHOC Administration, RC100-8125-9999

Shift:

Day 5x8-Hour (08:30 - 17:00)

Block Schedules:

No

Start Date:

05/13/2024

Job Duration:

13

# of Positions:

1

Non-Bill. Orientation:

12

Job ID:

Status:

Open

Union Code:

-

Profession:

Non-Clinical - Administrative

Specialty:

Customer Service Representative

Unit:

CHOC MSO-CHOC Administration, RC100-8125-9999

Shift:

Day 5x8-Hour (08:30 - 17:00)

Block Schedules:

No

Start Date:

05/13/2024

Job Duration:

13

# of Positions:

1

Non-Bill. Orientation:

12

Job ID:

2483334

Account Manager:

Susannah Milan

Email:

[email protected]

Overtime Multiplier:

8 regular hours in a day AND 40 regular hours in 1 week : 1.5%

Double Time Multiplier:

12 total hours in a day : 2%

Charge Nurse:

None

On Call:

None

Call Back:

None

Holiday:

1.35%

Observed Holidays:

New Year's Day: Falls Within: 5:00 PM day before - 12:00 AM day after

Christmas: Falls Within: 5:00 PM day before - 12:00 AM day after

Labor Day: Falls Within: 12:00 AM day of - 12:00 AM day after

Independence Day: Falls Within: 12:00 AM day of - 12:00 AM day after

Memorial Day: Falls Within: 12:00 AM day of - 12:00 AM day after

Thanksgiving: Falls Within: 12:00 AM day of - 12:00 AM day after

Holiday Comments: None

Orientation:

All Hours Billable

Job Location:

5855 Copley Drive

San Diego, CA 92111

Description:

Requirements:

1. H.S. Diploma, GED or Equivalent

2. 1 year of experience as a Customer Service Representative in a healthcare setting such as a hospital, medical group, health insurance or other RBO

3. Knowledge of medical terminology to include ICD-10 codes, CPT codes, and HCPC codes

4. Computer skills to include Excel, Word, Outlook and data entry systems

Job Description:

Under the supervision of the Customer Service Supervisor, the Customer Service Representative's primary job function is to promote favorable relationships with members, providers, and health plans through the prompt, accurate and courteous resolution of issues including but not limited to the following: authorization processing, claim research, coordinating translation services, and Primary Care Provider changes

Shift: Mon-Fri, 0830-1700 (8:30am-5pm PST), ON-SITE

COVID-19 Vaccine (Facility Guideline):

Not Required

Flu Vaccine (Facility Guideline):

Unknown

Account Manager:

Susannah Milan

Email:

[email protected]

Base Bill Rate:

$33.95

Overtime Multiplier:

8 regular hours in a day AND 40 regular hours in 1 week : 1.5%

Double Time Multiplier:

12 total hours in a day : 2%

Charge Nurse:

None

On Call:

None

Call Back:

None

Holiday:

1.35%

Observed Holidays:

New Year's Day: Falls Within: 5:00 PM day before - 12:00 AM day after

Christmas: Falls Within: 5:00 PM day before - 12:00 AM day after

Labor Day: Falls Within: 12:00 AM day of - 12:00 AM day after

Independence Day: Falls Within: 12:00 AM day of - 12:00 AM day after

Memorial Day: Falls Within: 12:00 AM day of - 12:00 AM day after

Thanksgiving: Falls Within: 12:00 AM day of - 12:00 AM day after

Holiday Comments: None

Orientation:

All Hours Billable

Job Location:

5855 Copley Drive

San Diego, CA 92111

Description:

Requirements:

1. H.S. Diploma, GED or Equivalent

2. 1 year of experience as a Customer Service Representative in a healthcare setting such as a hospital, medical group, health insurance or other RBO

3. Knowledge of medical terminology to include ICD-10 codes, CPT codes, and HCPC codes

4. Computer skills to include Excel, Word, Outlook and data entry systems

Job Description:

Under the supervision of the Customer Service Supervisor, the Customer Service Representative's primary job function is to promote favorable relationships with members, providers, and health plans through the prompt, accurate and courteous resolution of issues including but not limited to the following: authorization processing, claim research, coordinating translation services, and Primary Care Provider changes

Shift: Mon-Fri, 0830-1700 (8:30am-5pm PST), ON-SITE

COVID-19 Vaccine (Facility Guideline):

Not Required

Flu Vaccine (Facility Guideline):

Unknown

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