Bilingual Call Center Rep

2 year- Customer service experience within managed care or insurance industry Or Call center experience in any industry- Required

Responsibility A: Supports the Health Plan call center’s day to day operations
• Handles calls from Members/Providers seeking assistance with Member and/or Provider related issues. Reviews systems to
identify issues, comprehensively researches the issues, collaborates with other departments, communicates with internal
and external resources and creates appropriate responses.
• Acts as a liaison and advocate for the Members/Providers.
• Gathers information to support decisions or recommendations for action needed to resolve Member/Provider questions,
issues, and/or concerns.
• Assists with real-time resource management.
• Interacts tactfully and empathetically with Members/Providers.
• Ensures HIPAA protections are in place by verifying the identity of all callers prior to disclosing Personal Health Information
(PHI).
• Completes all assigned work queue tasks and/or after hour call center vendor notifications.
• Completes necessary documentation thoroughly, accurately, and timely in TCHP or TCH systems e.g. MACESS or EPIC when
applicable.
• Alerts team leader of any issues or concerns that require escalation for complete resolution or which may indicate a larger
underlying problem.

This is the pay range that RightSourcing (a part of Magnit) reasonably expects to pay someone for this position, however, as a supplier your expected pay range may vary and/or include certain benefits like: Stipends (for clinical traveler workers only), Medical, Dental, Vision, 401K [include any compulsory benefits such as commissions, incentive bonuses, etc. if applicable]. Pay range (USD)16 hrly - (USD)24 hrly