Job Details |
Interested? Email Us | Never Applied? Apply |
| Contact Center Care Coordinator I | |
| Job ID: | 00004JXB |
| Category: | Customer Service |
| Location: | CA Camarillo |
| Hours: | 40 Monday to Friday Flexible Shifts |
| Pay: | $21.00 $24.00 |
| Contact Center Coordinator Needed in Camarillo | |
| Job Description The Contact Center Care Coordinator I is responsible for providing outstanding customer service and support to members, caregivers, and healthcare professionals who contact Gold Coast Health Plan. 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, 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. Troubleshoot and resolve escalated issues following established protocols and guidelines to escalate urgent matters or complex issues to appropriate personnel. 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. Performs general clerical duties to include but not limited to photocopying, faxing, mailing, and filing. Document all calls, maintain accurate records, and update patient information in the systemdatabase. Serve members in a courteous and professional manner. Strive to achieve key performance indicators metric goals related to call handling, customer satisfaction, and service quality. Perform other duties as assigned. | |
| 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 with Medi-Cal guidelines and health insurance regulations. Exp working with Electronic Health Records EHR systems or CRM software a plus. | |