Customer Service Representative - San Diego, United States - Rady Children's Hospital

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    Description
    Would you like a job that has purpose? Are you passionate about caring for children and their families? Consider joining the Rady Children's Customer Service Team
    This position is full time with benefits and generous paid time off. It will be 100% in the office until fully trained, after which time, a hybrid option may be offered. Optional overtime is offered if you would like even more hours.
    This is an incredible team to work with. We love serving our members and find purpose in supporting them. The insurance process can be frustrating and we are here to help.
    The Customer Service Representative's primary role is to support relationships with members, providers and health plans. We provide timely, courteous resolution of issues and friendly answers to questions.


    Responsibilities include:
    Answering calls from provider offices and members of the medical group
    Performing PCP assignment updates
    Providing or scheduling translation services
    Data entry of authorization requests
    Authorization processing
    Researching and responding to provider calls regarding authorization or claim payment status
    Any other questions they may have

    Skills required:
    Knowledge of medical terminology, ICD-10 codes, CPT Codes, HCPC Codes, Health Plan benefits, or claims
    Positive, friendly demeanor
    Superb listening skills with natural curiosity
    Strong time management and multi-tasking ability with attention to details
    Outstanding communication skills, both verbally and in writing
    Patience, compassion, and empathy
    Masterful problem-solver
    Motivation to meet (or exceed) service goals
    Our efforts allow members to access much-needed medical care. The opportunity to learn and grow within the medical insurance industry can become a career with limitless possibilities.
    We would love you to join our team Please review the requirements below and apply if qualified.

    Minimum qualifications:
    High School graduate, GED, or Equivalent
    1 year of experience (Bachelor's degree considered in lieu 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.

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