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| Contact Center Care Coordinator I | |
| Job ID: | 00004JMC |
| Category: | Customer Service |
| Location: | CA Camarillo |
| Hours: | 40 Monday to Friday 830am to 5pm |
| Pay: | $16.00 $18.50 |
| Contact Center Coordinator Needed in Camarillo | |
| Job Description The Contact Center Care Coordinator is responsible for providing outstanding customer service and support to members, caregivers, and healthcare professionals. This role involves managing inbound and outbound calls, emails, and other communication channels to support members in accessing healthcare services, scheduling appointments, addressing inquiries regarding medical procedures, billing, and general information enrollment, eligibility, provider network authorization, claim status, plan guidelines and processes. This position handles inbound and outbound interactions involving member eligibility verification, general provider inquiries, claim status, general program and administration questions including direct member request for I.D cards and Primary Care Physician PCP changes, and triaging calls to appropriate units or outside entities. All interactions are documented in the system of record. Provide members essential information regarding access to care, coordination of care, benefits, Evidence of Coverage EOC, Member Handbook, etc. Troubleshoot and resolve escalated issues following established protocols and guidelines to escalate urgent matters or complex issues to appropriate personnel. Provide accurate and up-to-date information about medical procedures, services, and facilities. Collaborate with healthcare providers and internal teams to ensure efficient and accurate communication of member needs and information. Assist providers and members in using the Interactive Voice Response IVR and web portal. Ensure department compliance with Health Insurance Portability and Accountability Act HIPAA regulations relating to protection of personal history information. This includes adherence to compliance standards, confidentiality, and data protection regulations in all interactions and communications. Properly document all callscontacts as required by department standards in a timely, clear, and concise manner using internal tracking system. Support robocall and a | |
| Skills Required HS Diploma or GED. 2+ yrs exp in customer service. Bilingual in Spanish. Strong communication skills. Proficient in MS Office. Data entry skills with the ability type 35WPM. | |
| Skills Preferred Prior exp in a healthcare setting or call center is a plus. Exp working with Electronic Health Records EHR systems or CRM software a plus. | |