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Mandarin Customer Service Representative
Phoenix, AZ US
Job Description
We are looking for Customer Service Representatives who speak Traditional Mandarin to support our members in Phoenix, AZ!
**This is a remote/hybrid role where you will be required to come in office once a month.**
Details:
- Direct Hire
- Remote/Hybrid
- $22 hourly- Must be Fluent in Mandarin
- Monday-Friday 8AM-5PM
- Start Date October 16th
- 2 years of experience in claim processing, customer service, call center, health insurance, medical office
Summary
This is a highly specialized customer service position with an emphasis on excellence, privacy, compliance, and versatility within the health insurance industry. The position will identify, research, process, resolve, and respond to customer inquiries and correspondence via telephone, written communication, and/or in person.
The scope of the position includes accountabilities that support the following programs:
- 1. Utilization Management
- 2. Member Relations
- 3. Network Management
Essential Job Functions and Responsibilities
- Identify, research, process, resolve and respond to customer inquiries and correspondence via telephone, written communication and/or in person.
- Answer a diverse and high volume of health insurance related customer calls and correspondence daily.
- Meet quality, quantity and timeliness standards to achieve individual and department performance goals as defined within the department guidelines.
- Explain to customers a variety of information concerning the organization’s services, including but not limited to, contract benefits, changes in coverage, eligibility, claims, programs, provider networks, etc.
- Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries.
- Document and record facts in regard to inquiries and correspondence by updating files and system.
- Demonstrate and maintain current working knowledge of the required systems, procedures, forms and manuals.
- Utilization Management-related accountabilities for FEP staff include:
- Review of healthcare service requests for completeness of information
- Collection and/or transfer of non-clinical data
Utilization Management-related accountabilities for Provider Assistance staff include:
- Review of healthcare service requests for completeness of information
- Collection and/or transfer of non-clinical data
- Collection of defined clinical data using structured scripts or tools
- Activities that do not require interpretation of clinical information or decisions regarding utilization of any clinical criteria for handling of a request for healthcare services or treatment
Required Work Experience
- 1year of experience in claims examination, health insurance, customer service, call center, medical office, or other healthcare-related fields
Preferred Work Experience
- 2 years of experience in claim processing, customer service, call center, health insurance, medical office, or other healthcare-related fields
Required Education
- High-School Diploma or GED in general field of study
Preferred Education
- Associate's Degree in general field of study
Required Job Skills
- Type 30 to 35 words per minute with 5% error rate or less
- Intermediate PC proficiency
Preferred Job Skills
- Type >35 words per minute with 5% error rate or less
- Intermediate knowledge of insurance claim coding
- Intermediate understanding of dental and medical terminology
- Intermediate comprehension of anatomy and medical practices
Required Professional Competencies
- Maintain confidentiality and privacy
- Practice interpersonal and active listening to achieve high customer satisfaction
- Compose and dictate a variety of business correspondence
- Interpret and translate policies, procedures, programs and guidelines
- Capable of investigative and analytical research
- Navigate, gather, input and maintain data records in multiple system applications
- Follow and accept instruction and direction
- Establish and maintain working relationships in a collaborative team environment
Preferred Professional Competencies
- Knowledge of a wide range of subjects pertaining to the organization's service and operations
Looking for a role that will provide growth in the healthcare field? Look no further! We have a great opportunity! APPLY TODAY!
Wollborg Michelson Recruiting does require all applicants to be able to provide proof that they are fully vaccinated from COVID prior to their start date, unless otherwise prohibited by law. Wollborg Michelson Recruiting is an Equal Opportunity Employer and prohibits discrimination of any kind. We ensure job offers are made based of one’s employment experience, skills, and qualifications, regardless of race, gender, ethnic origin, or any other classification protected by law. All applicants must furnish proper identification to prove their legal right to work in the US upon a job offer. We participate in E-Verify to confirm one’s right to work in the US. Wollborg Michelson Recruiting does not provide sponsorship for an employment-based visa status.
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