Job: Customer Service Specialist

Title Customer Service Specialist
Location WHCC
Job Information

Primary Responsibilities:

  • Verify enrollment forms are completed and supporting documents have been supplied by applicants.
  • Inform patients of services, fee codes, and policies and procedures.
  • Determine patient eligibility and financial status to pay.
  • Dispatch patient issues, complaints, and grievances to the correct department as associated with patient care satisfaction.
  • Verify, edit and enter patient information using the PM registration procedures.
  • Prepare reports as directed by supervisor, assist in sorting, filing, batching, retrieving, logging and mailing documents related to department assignments and goals.
  • Determine patient eligibility for Covered CA and Medi-Cal using CALHEERS.
  • Other duties as assigned.

Key Requirements:

  • High School diploma or equivalent.
  • Three to five years (3-5) participating in the resolution of patient related problems, consumer grievances, patient eligibility through various related programs.
  • Knowledgeable of federal guidelines governing HMO’s including Title XXIII and Health facilities and referral agencies.
  • Must be a Covered CA Certified Enrollment Counselor.
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