Customer Serv Rep - CHOC MSO

Company: Rady Children's Hospital
Location: San Diego
Posted on: May 27, 2023

Job Description:

JOB SUMMARY:
Under the supervision of the Customer Service Supervisor, the Customer Service Representative's primary role is to promote favorable relationships with members, providers and health plans. Through the prompt, accurate and courteous resolution of issues, including but not limited to the following: authorization, processing claims, research, coordinating, translation services and Primary Care Provider changes.
SKILLS REQUIRED:

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  Positive and constructive demeanor
  
  
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  Superb listening skills
  
  
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  Outstanding communication skills (speaking, reading, writing)
  
  
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  Masterful problem-solver!
  
  
  MINIMUM QUALIFICATIONS:
  High School Diploma, GED, or Equivalent; Bachelor's Degree considered in lieu of experience
  1 year of experience
  Excellent communication and interpersonal skills
  Knowledge of medical terminology, ICD-10 codes, CPT Codes, HCPC Codes, Health Plan benefits, or claims
  Previous experience in the health care field, such as hospital, medical group, health insurance, or other Risk Bearing Organization (RBO)
  PREFERRED QUALIFICATIONS:
  Bachelor's Degree
  Computer skills, including Excel, EZ Cap, Word, Outlook, and data entry systems
  The expected hiring range for this position is $20.00 to $27.50
  Rady Children's Hospital is committed to compensation that is externally competitive and internally equitable. We demonstrate this commitment by conducting regular market reviews to remain competitive with organizations of similar size in the nonprofit, healthcare sector. The range listed above does not represent the full salary range for the position but is the expected hiring range for qualified candidates. Compensation decisions consider a variety of factors including experience, education, licensure, unique skillsets, organizational need, and internal equity.
  EOE including disability/vet

Keywords: Rady Children's Hospital, San Diego , Customer Serv Rep - CHOC MSO, Other , San Diego, California