Johnson Service Group

Provide senior-level customer service support including handling complex inquiries, coordinating healthcare needs, and documenting interactions. | High school diploma plus 2 years customer service with 1 year call center experience, bilingual in English and a threshold language, typing speed 35 WPM, preferred healthcare experience. | Johnson Service Group (JSG) is seeking a Sr. Customer Service Representative in Orange, California. This position is on-site. Work Schedule: Monday to Friday (8:00a.m.- 5:00p.m.) Hourly pay range: $24.00-$33.00 per hour DOE Duties & Responsibilities: • 95% - Program Support • Participates in a mission driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. • Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. • Addresses member and provider inquiries, questions and concerns in all areas, including eligibility, enrollment, claims or authorization status, benefit interpretation and referrals/authorizations for medical care in-person or telephonically. • Serves as a senior resource for other team members (i.e., solves complex challenges, answers uncommon questions and shares complex processes and procedures). • Supports in the coordination of member’s health care and social service needs both within and outside the medical group and Company. • Enters accurate and complete documentation into internal application systems regarding all concerns and/or inquiries from the member and provider interaction. • Initiates referrals to both internal and external care management departments and other department/government or community agencies. • Maintains departmental productivity and quality standards. • Follows through and completes all member and provider inquiries or requests during the original member and provider interaction. Provides additional follow-up assistance as needed. • 5% - Other • Completes other projects and duties as assigned. • Minimum Qualifications: • High school diploma or equivalent PLUS 2 years of experience in customer/member service, including 1 year of call center capacity required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. • Typing speed of 35 words per minute (WPM) required. • Bilingual in English and in one of Compnay's defined threshold languages (Arabic, Chinese, Farsi, Korean, Russian, Spanish, Vietnamese) required. Preferred Qualifications: • 1 year of Health Maintenance Organization (HMO), Medi-Cal/Medicaid and health services experience. JSG offers medical, dental, vision, life insurance options, short-term disability, 401(k), weekly pay, and more. Johnson Service Group (JSG) is an Equal Opportunity Employer. JSG provides equal employment opportunities to all applicants and employees without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, disability, marital status, protected veteran status, or any other characteristic protected by law. #D800 About the Company: Johnson Service Group