Insight Global is looking for a remote customer service representative for one of their largest healthcare clients located in Southern California.
Specific Duties:
1. Answer 50-70 Inbound Calls daily
2. Resolve Member Inquiries
3. Provide Copay-Coinsurance information
4. Provide Authorization status
5. Provide Network information
6. Handle Member Complaints
7. Master internal department workflow processes
6. Ability to demonstrate Empathy/Compassion
Shift Start/End Time: 8:30 to 5:00 pm Mon-Friday. Must sit 50 miles from Irvine.
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to com.
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Bilingual
- 1 year of call center experience (from a health plan or call center)
-Claims knowledge
- Eligibility
- Risk - payment methodologies (FFS vs CAP)
- Ability to attain quality call outcomes - provide 5 star service