Customer Service Representative I

Colorado Access•Denver, CO

17h•$51,600 - $53,500•Hybrid

About The Position

The vision of Colorado Access is to have healthy communities transformed by the care that people want at a cost we can all afford. Our mission is to partner with communities and empower people through access to quality, affordable care. We are a Colorado-based company, working to improve the health of our state. We care for individuals, families, and children who receive health care under Child Health Plan Plus (CHP+) and Health First Colorado (Colorado's Medicaid Program). Our focus is driving improvements in quality, member experience, outcomes, and cost. We are a mission-driven organization whose foundation is built by our vision and supported by our values.

Requirements

High school diploma or equivalent required.
Minimum of 2 years’ customer service experience is required.
Ability to work within a call center environment and answer inquiries in a professional manner.
Requires the ability to identify and appropriately handle grievances and appeals, and to facilitate quality outcomes and/or resolutions for the benefit of all applicable parties.
Demonstrates support for the company’s mission, vision and values.
Position requires excellent written and verbal communication skills.
Must be proficient in Microsoft office applications (Word, Excel, PowerPoint, Outlook, SharePoint) with ability to work with a variety of project management tools.
May be required to manage multiple priorities and projects with tight deadlines.
A valid driver's license and proof of current auto insurance will be required for any position requiring driving.

Nice To Haves

Bilingual in Spanish/English is highly preferred.
Experience in medical insurance and Medicare and Medicaid eligibility and enrollment is highly preferred.

Responsibilities

Answer incoming calls with a customer-focused approach while maintaining professionalism and courtesy at all times.
Maintain full availability during scheduled shifts, remaining accessible throughout the workday to ensure timely service.
Research, resolve, and document customer inquiries, concerns, and issues accurately and efficiently.
Provide clear and accurate information and education related to benefits, coverage, policies, claims, and general inquiries.
Utilize available resources such as policies, procedures, training materials, handouts, databases, and multiple systems to complete daily work.
Document all interactions clearly and thoroughly in the E-Plus system or other required systems.
Conduct outbound calls for follow-ups, benefits information, claims clarification, and other customer-related needs as assigned.
Respond to email inquiries sent to the Customer Service inbox in a professional, clear, and HIPAA-compliant manner when assigned.
Assist members with basic policy updates such as contact information changes and general account questions.
Provide general guidance on how to file claims and what documentation is required.
Follow a daily schedule for breaks and lunches as assigned.
Maintain regular attendance and punctuality as an essential function of the role.
Consistently meet or exceed performance, quality, and customer service standards set by department leadership.

Benefits

PTO
floating holidays
nine company paid holidays
Employee Assistance Program
401K
tuition reimbursement
leadership training
promotion opportunities
performance evaluations
employee recognition
language pay stipend
Medical, dental, vision insurance that starts the first day of the month following start date.
Supplemental insurance such as critical illness and accidental injury.
Health care and dependent care flexible spending account options.
Employer-paid basic life insurance and AD&D (employee, spouse and dependent).
Short-term and long-term disability coverage.
Voluntary life insurance (employee, spouse, dependent).
Retirement plan
Annual bonus program (based on eligibility, requirements and performance).