Customer Service Representative in Modesto, California at SAN JOAQUIN COUNTY HEALTH COMMISSION

What You Bring:

Knowledge, Skills, Abilities and Competencies

Required

Produces work that is accurate and complete.Actively learns through experimentation when tackling new problems, using both successes and failures to learn.Rebounds from setbacks and adversity when facing difficult situations.Knows the most effective and efficient process to get things done, with a focus on continuous improvement.Interpersonal skills - interacts effectively with individuals both inside and outside of HPSJ; relates openly and comfortably with diverse groups of people.Strong oral and written communication skills, with ability to express self clearly and professionally, and document according to standards.Strong listening skills, with the ability to accurately receive and understand messages.Basic conflict resolution skills, with the ability to use tact and diplomacy to diffuse emotional situations.Ability to work independently and as part of a team.Demonstrates a commitment to HPSJ’s strategy, vision, mission and values.Ability to read, understand and apply complex written guidelines, instructions and other materials.Ability to compare and discern the difference between multiple sets of data or information.Basic arithmetic skills.Basic knowledge of contact center systems.Basic skills in Windows, Word, Excel and Outlook. Ability to navigate multiple systems and resources simultaneously.Ability to handle confidential information with appropriate discretion.Ability to speak and be understood in English.Proficiency (as defined by HPSJ’s Cultural and Linguistics Program) in one of HPSJ’s threshold languages may be required, depending on business requirements.Must type 40 WPM.Must pass Call Center Listening Skill test with a score of 71+.

Preferred

Ability to efficiently and effectively handle calls of heavy volume (50-100 per day), including documentation and resolution. Knowledge of Medi-Cal programsKnowledge of Medicare DSNP programsKnowledge of managed careKnowledge of medical policy benefits and exclusionsKnowledge of medical terminologyKnowledge of ICD and CPT coding.

What You Have:

Education and Experience

Required

High school diploma or general education degree; and Customer Service experience.

Preferred

Associate’s Degree Experience in customer service in a health plan, managed care, Medicare DSNP and/or Medi-Cal.At least one year handling heavy call volume (50-100 calls per day).

What You Will Get:

HPSJ Perks:

Competitive salaryRobust and affordable health/dental/vision with choices in providersGenerous paid time off (accrue up to 3 weeks of PTO, 4 paid floating holidays including employee’s birthday, and 9 paid holidays)CalPERS retirement pension program, automatic employer-paid retirements contributions, in addition to voluntary defined contribution planTwo flexible spending accounts (FSAs)Employer-Paid Term Life and AD&D InsuranceEmployer-Paid Disability InsuranceEmployer-Paid Life Assistance ProgramHealth AdvocacySupplemental medical, legal, identity theft protectionAccess to exclusive discount mallEducation and training reimbursement in addition to employer-paid elective learning courses.A chance to work for an organization that is mission-driven – our members and community are at the core of everything we do.A shorter commute ­– if you’re commuting from the Central Valley to the Bay Area.Visibility and variety – you have a chance to work with people at all levels of the organization, and work on diverse projects.

Physical Demands

Frequent sitting, standing and walking, constant repetitive motion, frequent talking and listening, occasional handling of materials up to 50 lbs., closeup and distance vision requirements, occasional travel.

We are an equal opportunity employer and diversity is one of our core values. We believe that differences including race, ethnicity, gender, sexual orientation, and other characteristics, will help us create a strong organization that is sensitive to the needs of those we serve. Employment decisions are made on the basis of qualifications and merit.

HPSJ provides equal employment opportunities to employees and applicants for employment and prohibits discrimination based on color, race, gender (including gender identity and gender expression), religion (including religious dress and grooming practices), marital status, registered domestic partner status, age, national origin (including language use) or ancestry, physical or mental disability, medical condition (including cancer and genetic characteristics), sex (including pregnancy, childbirth, breastfeeding or related medical condition), genetic information, sexual orientation, military or veteran status, political affiliation or any other characteristic made unlawful by applicable Federal, State or local laws. It also prohibits unlawful discrimination based on the perception that anyone has these characteristics or is associated with anyone who has or is perceived to have these characteristics.

Important Notice: This job description is not a contract between HPSJ and the employee performing the job. The duties listed in the job description may be changed at the discretion of HPSJ, and HPSJ may request the employee to perform duties that are not listed on the job description.