Call Center Representative Inbound

Lodi, California
Customer Service & Call Center (Office and Administrative Support Occupations)
Job Type
Working Hours
8:00 AM - 5:00 PM
US$ 14.00 - US$ 16.00 per hour
Ref. Number
Jeannine Crane, Spherion
Apply Now

Job Description

This is a 'Customer Service Operations' position working in a 'Call Center' environment as a 'Member Level Processor' for a large, well known 'Medical Provider' in Lodi, CA. Selected talent will provide support to customers; responding to inquiries, validating data, updating information, making corrections, researching inquiries, and performing like tasks as requested.
This well established 'Medical Provider' provides a great work environment providing training, support, mentoring, and is an establishment who truly cares about all associates under their wings.

As a 'Member Level Processor ' you will be responsible for reviewing and processing claim information into the Facets system. Some of your responsibilities will include reviewing member and provider information and matching this data to the claim submission, which will push the claim into a workflow system for adjudication. Additional duties may include processing claims through finalization. Processors will be expected to communicate with internal customers via e-mail and/or phone to gather certain pieces of information needed to complete the claim. You will respond to and resolve various customer inquiries via telephone and correspondence, and resolve claim problems within established production and quality standards. Answers incoming calls and written requests for information from members or providers promptly and accurately. Composes routine and non-routine correspondence to answer member inquiries that require a written response. Coordinates with other departments to ensure timely and appropriate responses. Expedites and resolves complex issues and makes claim adjustments. You may also have the opportunity to educate others on the Medical Providers products, providing accurate information and updates to policies and procedures, improving overall customer satisfaction in the process.

Working hours: 8:00 AM - 5:00 PM

- Computer literate
- Key 40 WPM minimum
- Proven data entry ability
- Excel & Word experienced
- Solid understanding of math
- Excellent written & verbal communication
- Outstanding customer service & problem solver

High School

1-4 years

- Keying ability
- Communication
- Computer skills
- MS Office Suite
- Customer Service
- Patience and tact
- Able to listen & respond respectfully
- Posses the desire to make a difference

Don't miss out on this opportunity!
To apply go to: Make sure you attach your current resume, so we can learn about you and your prior experiences. This is required prior to reaching out directly.
Contact: Jeannine Crane 209 465-1500
We will follow up by reaching out to you to provide you additional information and instruct you through the process.
We look forward to hearing from you.

Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temp-to-perm or direct hire opportunities, no one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law. San Francisco Fair Chance Ordinance: Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance.

Apply Now