Customer Service Clerk

Regal Medical Group•Los Angeles, CA

2d•$21

About The Position

To verify and document member’s demographics, resend out members correspondence materials. Call and survey member disenrollment and document the outcome for tracking purposes and assist customer service phone queue as needed. As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success. Full Time Position Benefits: The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization, but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life. Our dedication to our staff is evident in our comprehensive benefits package. We offer a very generous mixture of benefits, including many employer-paid options.

Requirements

High School graduate equivalent.
One years of varied, increasingly responsible secretarial experience.
Good written and verbal communication skills.
Well organized.
Ability to work well under pressure

Nice To Haves

Knowledge of Windows-based computer skills preferred.

Responsibilities

Updating member’s demographics
Send faxes to providers office
Calling member to verify correct demographic, after receiving demographic update from provider/ member update correct information in EZ Cap.
Disenrollment, Calling members that are no longer with medical group asking survey questions as to why no longer with medical group. (member retention)
Messages for customer service department, taking messages when there is a high call volume in the Queue.
Eligibility, looking up information for providers that pertains to patient information (ex PCP, Termination date, Medical Group etc.)
Authorization, Assisting providers/ members with authorization status, assisting providers with referral network information.
Mailing, sorting mail so that it is distributed to the correct location (ex Medical records for claims , Providers returned mail)