Medical Review Customer Service Representative

Motion Picture Industry Pension & Health Plans (MPI) • Los Angeles, CA

77d • $26

About The Position

MPI is seeking a Customer Service Representative to join our Medical Review team in Studio City. This onsite role handles Participant and Provider calls regarding MPI’s Narrow Network, and communicates with participants and providers’ offices about benefits.

Requirements

• High school Diploma or GED required. Some college preferred
• Minimum 2 years of customer service phone experience, required
• Minimum 1 year of healthcare/insurance experience a plus
• Experience in the motion picture health plan industry a plus
• Accurate typing skills of 45 wpm
• 10 key skills by touch, preferred
• Proficient PC skills, including Windows; MS Word and MS Excel
• Clear and effective oral and written communication skills with the ability to explain and confirm understanding of complex issues
• Excellent mathematical and analytical skills
• Pleasant and professional telephone etiquette. Articulate, clear telephone voice.
• Able to handle fast-paced work and meet deadlines
• Motivated self-starter, well organized in managing time and materials
• Strong attention to detail, a high level of accuracy required
• Able to learn quickly and follow through to completion
• Good interpersonal skills, ability to interact effectively and cooperatively with callers, and co-workers at all levels of the organization
• A flexible team player with a positive, cooperative and helpful attitude who displays excellent collaboration skills
• Excellent attendance and reliability, with the ability to work overtime/extended hours as required.
• Ability to accept direction and developmental guidance from supervisor.

Responsibilities

• Document issues and actions effectively and efficiently utilizing internal systems
• Make outbound calls to our participants and/or providers regarding the status of a referral
• Contact provider’s requesting additional information (medical records, consultation notes, progress notes and prescriptions)
• Answering a high volume of provider and participant referral inquiries by phone, email or Unity.
• Perform other duties as assigned.

Benefits

• Free medical, dental, and vision coverage
• Generous paid time off
• Retirement benefits
• Professional development opportunities

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED
• Number of Employees: 251-500 employees