Customer Service Representative

Customer Service Representative

We are looking for a dedicated Customer Service Representative to join our team in Huntington Beach, California. In this role, you will assist with enrollment processes, ensuring accuracy and efficiency while guiding individuals through their onboarding experience. This is a long-term contract position within the healthcare industry, offering the opportunity to make a meaningful impact on customer satisfaction and organizational success.

Responsibilities:

Respond promptly to inquiries from internal and external customers, addressing concerns related to enrollment.

Resolve enrollment-related issues by conducting research and utilizing call tracking, claims systems, or email communication.

Enter and maintain accurate enrollment data in the company's eligibility transactional system.

Process applications for enrollment and disenrollment, ensuring compliance with established guidelines.

Verify enrollment statuses with clients and address discrepancies as needed.

Investigate and resolve system rejections related to enrollment processes.

Collaborate with team members to address exceptions and ensure members are properly enrolled.

Perform daily and monthly reconciliation of enrollment files to maintain data accuracy.

Manage member eligibility changes and update records in the enrollment database.

Maintain organized documentation and records, ensuring they are accessible and up-to-date.

Requirements:

Associate's Degree or equivalent combination of education and relevant experience.

Minimum of two years' experience in customer service or healthcare-related roles.

Familiarity with Medicare guidelines is highly desirable.

Strong proficiency in Microsoft Office applications, including Excel and Word.

Exceptional organizational skills and attention to detail.

Ability to adapt to new systems and processes quickly.

Fast and accurate data entry skills, with a typing speed of 55 words per minute preferred.

Communication skills with a focus on delivering excellent customer service.