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Join our team! We are hiring a Customer Service Representative for our Placerville office. This is a fully onsite position.\nTraining Schedule: Monday to Friday from 8:00 to 4:30pm\nAfter Training: Monday to Friday from 8am to 5pm\nMust be bilingual in Spanish for this role.\nWhat You Will Be Doing:\nUnder direct supervision, the Customer Service Rep is responsible for responding to and resolving a variety of inquiries, requests and issues from external and internal customers in a call center environment.\nOur Vision:\nContinuously improve the health of our community.\nOur Mission:\nWe provide healthcare value and advance wellness through community partnerships.\nEssential Functions:\nProvides information on benefits, eligibility, claims, authorizations and other related items over the phone and in person.\nResearches and resolves issues related to claims and authorizations; monitors progress.\nResearches and resolves complex eligibility issues; monitors progress.\nCreates required documentation, including but not limited to call logs and other tracking systems.\nWhat You Bring:\nKnowledge, Skills, Abilities and Competencies Required\nProduces work that is accurate and complete.\nActively learns through experimentation when tackling new problems, using both successes and failures to learn.\nRebounds from setbacks and adversity when facing difficult situations.\nKnows the most effective and efficient process to get things done, with a focus on continuous improvement.\nInterpersonal skills - interacts effectively with individuals both inside and outside of HPSJ; relates openly and comfortably with diverse groups of people.\nStrong oral and written communication skills, with ability to express self clearly and professionally, and document according to standards.\nStrong listening skills, with the ability to accurately receive and understand messages.\nBasic conflict resolution skills, with the ability to use tact and diplomacy to diffuse emotional situations.\nAbility to work independently and as part of a team.\nDemonstrates a commitment to HPSJ's strategy, vision, mission and values.\nAbility to read, understand and apply complex written guidelines, instructions and other materials.\nAbility to compare and discern the difference between multiple sets of data or information.\nBasic arithmetic skills.\nBasic knowledge of contact center systems.\nBasic skills in Windows, Word, Excel and Outlook.\nAbility to navigate multiple systems and resources simultaneously.\nAbility to handle confidential information with appropriate discretion.\nAbility to speak and be understood in English.\nProficiency (as defined by HPSJ's Cultural and Linguistics Program) in one of HPSJ's threshold languages may be required, depending on business requirements.\nMust type 40 WPM.\nMust pass Call Center Listening Skill test with a score of 71+.\nPreferred:\nAbility to efficiently and effectively handle calls of heavy volume (50-100 per day), including documentation and resolution.\nKnowledge of Medi-Cal programs\nKnowledge of Medicare DSNP programs\nKnowledge of managed care\nKnowledge of medical policy benefits and exclusions\nKnowledge of medical terminology\nKnowledge of ICD and CPT coding.\nWhat You Have:\nEducation and Experience Required\nHigh school diploma or general education degree; and\nCustomer Service experience.\nPreferred:\nAssociate's Degree\nExperience in customer service in a health plan, managed care, Medicare DSNP and/or Medi-Cal.\nAt least one year handling heavy call volume (50-100 calls per day).\nWhat You Will Get:\nHPSJ Perks:\nCompetitive salary\nRobust and affordable health/dental/vision with choices in providers\nGenerous paid time off (accrue up to 3 weeks of PTO, 4 paid floating holidays including employee's birthday, and 9 paid holidays)\nCalPERS retirement pension program, automatic employer-paid retirements contributions, in addition to voluntary defined contribution plan\nTwo flexible spending accounts (FSAs)\nEmployer-Paid Term Life and AD&D Insurance\nEmployer-Paid Disability Insurance\nEmployer-Paid Life Assistance Program\nHealth Advocacy\nSupplemental medical, legal, identity theft protection\nAccess to exclusive discount mall\nEducation and training reimbursement in addition to employer-paid elective learning courses.\nA chance to work for an organization that is mission-driven

our members and community are at the core of everything we do.\nA shorter commute

if you're commuting from the Central Valley to the Bay Area.\nVisibility and variety

you have a chance to work with people at all levels of the organization, and work on diverse projects.\nPhysical Demands\nFrequent 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.\nWe 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.\nHPSJ 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.\nImportant 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.

","shortDescription","Customer Service Representative

Join our team! We are hiring a Customer Service Representative for our Placerville office. This is a fully...","promoted","title","Customer Service Representative - Placerville","duration","","experienceLevel","displayThumbnail","location","locations",[61],"id",["B","3342002278"],"displayHeadline","Work at HEALTH PLAN OF SAN JOAQUIN","category","Sales & Business Development","displayPublishedAt","9 hours ago","displayUrl","/jobs/3342002278-customer-service-representative-placerville","shortTitle","shortLocation","Placerville, CA, United States","searchCompanyPath","/jobs?keyword=HEALTH+PLAN+OF+SAN+JOAQUIN","searchLocationPath","/jobs?location=Placerville%2C+CA%2C+United+States","searchTitlePath","/jobs?keyword=Customer+Service+Representative+-+Placerville",{"_62":63,"_64":65,"_66":67,"_68":69,"_70":71},"country","United States","city","Placerville","formatted","Placerville, CA, United States, 95667","state","CA","postal_code","95667",["D",1775664000000],"Health Plan of San Joaquin/Mountain Valley Health Plan","The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.\nJoin our team! We are hiring a Customer Service Representative for our Placerville office. This is a fully onsite position.\nTraining Schedule

Monday to Friday from 8:00 to 4:30pm\nAfter Training

Monday to Friday from 8am to 5pm\nMust be bilingual in Spanish for this role

Must be bilingual in Spanish for this role.\nWhat You Will Be Doing

Under direct supervision, the Customer Service Rep is responsible for responding to and resolving a variety of inquiries, requests and issues from external and internal customers in a call center environment.\nOur Vision

Continuously improve the health of our community.\nOur Mission

We provide healthcare value and advance wellness through community partnerships.\nEssential Functions

Provides information on benefits, eligibility, claims, authorizations and other related items over the phone and in person.\nResearches and resolves issues related to claims and authorizations; monitors progress.\nResearches and resolves complex eligibility issues; monitors progress.\nCreates required documentation, including but not limited to call logs and other tracking systems.\nKnowledge, Skills, Abilities and Competencies

Required

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

Ability to efficiently and effectively handle calls of heavy volume ( 50-100 per day), including documentation and resolution.\nKnowledge of Medi-Cal programs\nKnowledge of Medicare DSNP programs\nKnowledge of managed care\nKnowledge of medical policy benefits and exclusions\nKnowledge of medical terminology\nKnowledge of ICD and CPT coding.\nEducation and Experience

Required

High school diploma or general education degree; and\nCustomer Service experience.\nPreferred

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

None.\nWhat You Will Get

Competitive salary\nRobust and affordable health/dental/vision with choices in providers\nGenerous paid time off (accrue up to 3 weeks of PTO, 4 paid floating holidays including employee’s birthday, and 9 paid holidays)\nCalPERS retirement pension program, automatic employer-paid retirements contributions, in addition to voluntary defined contribution plan\nTwo flexible spending accounts (FSAs)\nEmployer-Paid Term Life and AD&D Insurance\nEmployer-Paid Disability Insurance\nEmployer-Paid Life Assistance Program\nHealth Advocacy\nSupplemental medical, legal, identity theft protection\nAccess to exclusive discount mall\nEducation and training reimbursement in addition to employer-paid elective learning courses.\nA chance to work for an organization that is mission-driven – our members and community are at the core of everything we do.\nA shorter commute – if you’re commuting from the Central Valley to the Bay Area.\nVisibility and variety – you have a chance to work with people at all levels of the organization, and work on diverse projects.\nPhysical 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.\nEqual Employment Opportunity Statement

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.\nHPSJ 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.\nImportant 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.

#J-18808-Ljbffr\n","The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.\nJoin our ...","Customer Service Representative",[84],["B","3200763319"],"Work at Health Plan of San Joaquin/Mountain Valley Health Plan","9 days ago","/jobs/3200763319-customer-service-representative","/jobs?keyword=Health+Plan+of+San+Joaquin%2FMountain+Valley+Health+Plan","/jobs?keyword=Customer+Service+Representative",{"_62":63,"_64":65,"_66":67,"_68":69,"_70":71},8752,"name","Newsday Media Group","agency","logo","https://production-rails-default.s3.us-east-2.amazonaws.com/public/legacy-logos/351727.GIF","slug","newsday-media-group","

Newsday Media Group is a locally owned, independent media company grounded in journalistic excellence, integrity, and commitment to the communities it serves. With 19 Pulitzer Prizes and dozens of Emmy Awards, it's one of the most decorated news organizations in the country.

The company is in the middle of a significant transformation, expanding from its newspaper roots into a multimedia operation spanning digital, video, podcasts, live events, and data-driven civic engagement. NMG properties include the flagship Newsday and Newsday.com, NewsdayTV, the Newsday Live events series, and nextLI, a civic research and community forum platform funded by The Rauch Foundation.

A new 130,000-square-foot headquarters in Melville features a broadcast-quality TV studio and multimedia production space. Newsday Live produces a growing calendar of food and wine tastings, author talks, sports Q&As, concerts, and community events. Feed Me, the company's food and dining vertical, includes a web series, quarterly print magazine, and restaurant coverage. Brand 360, the in-house content studio, partners with advertisers across healthcare, education, energy, tourism, and retail.

Newsday's investigative unit has driven real-world change, from prompting schools to replace unsafe football helmets to contributing reporting that led to federal corruption convictions. Community programs include the Newsday Marching Band Festival, CheerFest, Scholar-Artist honors, and partnerships with local nonprofits focused on hunger, housing, youth education, and child welfare.

For people who care about local journalism, multimedia storytelling, and community impact, Newsday is doing the work at scale.

","Melville, NY","coloredLogo","logoAttachment","thumbnail","thumbnailAttachment","newsday.jpg","hexCode","#D52B1E","headline","Award-Winning Local Media Powerhouse Serving Long Island & New York City","/companies/newsday-media-group","https://production-rails-default.s3.amazonaws.com/uploads/company/thumbnail_attachment/8752/newsday.jpg",["B","3342009840"],"Writing & Editing",["D",1776470400000],"indexedAt","Bilingual Customer Service Rep","Our client Harris County is in need of a Bilingual Customer Service Rep. Please see the job details below and let me know if you are interested.

Pay Rate: $15.00\nLocation: Humble, TX 77338\nSchedule: Monday

Friday 8am to 4:30pm

Job Duties:\nTo assist staff and customers with the daily operations at the Annex

#AOP\n","descriptionText","Bilingual Customer Service Rep ChaseSource Writing & Editing Our client Harris County is in need of a Bilingual Customer Service Rep. Please see the job details below and let me know if you are interested. Pay Rate: $15.00 Location: Humble, TX 77338 Schedule: Monday Friday 8am to 4:30pm Job Duties: To assist staff and customers with the daily operations at the Annex #AOP","Our client Harris County is in need of a Bilingual Customer Service Rep. Please see the job details below and let me know if you are interested.