Customer Service Representative - CHOC MSO

Full Time
San Diego, CA
Posted
Job description

Rady Children’s is hiring for full-time, on-site Customer Service Representatives for our Copley location! Once you are fully trained, a hybrid option is available.

Schedule: Monday through Friday 8am-5pm

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:

  • Positive and constructive demeanor
  • Superb listening skills
  • Outstanding communication skills (speaking, reading, writing)
  • Masterful problem-solver!
  • Thrives in a team environment

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 Culture at Rady Children’s

Rady Children’s is a place where everyone CARES about everyone else. That doesn’t just mean we dedicate ourselves to our patients and their families, though of course, that’s a big part of it. What it truly means is that our intentions and actions converge to answer this essential question: How can I make things better for those around me?

In fact, we are so big on caring, that’s our service excellence promise. To provide service that reflects our CARES values:

  • Compassion
  • Accountability
  • Respect
  • Excellence
  • Service

RCHSD offers a competitive benefits package including generous paid-time off, sick leave, 403(b) retirement plan, medical, dental, and vision coverage, wellness programs, 100% employer-paid life insurance, LTD, AD&D, recognition awards and so much more!

Rady Children’s Hospital-San Diego is committed to hiring and retaining a diverse workforce. We are an Equal Opportunity/Affirmative Action Employer and will consider all qualified applicants for employment without regard to race, color, religion, religious creed, ancestry, gender, pregnancy, sex, sexual orientation, transitioning status, gender identity, gender expression, national origin, age, genetic information, military and veteran status, marital status, medical condition, mental disability, physical disability, or any other basis protected by local, state, or federal law. EEO is the law. We also prohibit compensation discrimination under all applicable laws.

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.

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