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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.

Education:

High school diploma or GED required. AA or BS degree preferred

Experience:

  • 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.

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