Cedars-Sinai Patient Provider Services Rep - Member Services in Los Angeles, California
The Patient/Provider Services Rep handles the administrative activities for the call center. This position responds to a large amount of incoming calls, open and maintain member inquiry by detailing information and handling complaints. This position works with a wide range of internal and external partners, including physicians, senior management, managers, and office staff. Will work independently and take initiative.
Job Duties and Responsibilities:
Serves as a liaison between providers, patients, health plans and other internal departments throughout the Cedars-Sinai providing superb customer service, daily and weekly updates of call center activities to ensure success of department.
Provides operational support to the call center including training when appropriate.
Responds to issues pertaining to claims, eligibility, utilization/referrals, quality and/or marketing.
Handles complaints and provides appropriate solutions and alternative options.
High school diploma or GED required. AA or BS degree preferred
Three (3) or more years of experience in a medical practice, billing service, health plan or customer service department. Call Center experience preferred.
Should have outstanding customer service skills and proven knowledge of health insurance, managed care reimbursement and medical delivery system.
Ability to rapidly adjust thought process to multiple clients.
Knowledge of EPIC and PC skills preferred.
Bilingual a plus.
Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law.