Patient/Provider Service Rep – Member Services/Call Center (Remote)

The Patient/Provider Services Rep handles the administrative activities for the call center. This position responds to a large amount of incoming calls, open and maintain member inquiry by detailing information and handling complaints. This position works with a wide range of internal and external partners, including physicians, senior management, managers, and office staff. Will work independently and take initiative.

Job Duties and Responsibilities:

• Serves as a liaison between providers, patients, health plans and other internal departments throughout the Cedars-Sinai providing superb customer service, daily and weekly updates of call center activities to ensure success of department.
• Provides operational support including training when appropriate.
• Responds to issues pertaining to claims, eligibility, utilization/referrals, quality and/or marketing.
• Handles complaints and provides appropriate solutions and alternative options.

Education:

High school diploma or GED preferred. AA or BS degree preferred

Experience:

• Three (3) or more years of experience in a medical practice, billing service, health plan or customer service department. Call Center experience preferred.
• Should have outstanding customer service skills and proven knowledge of health insurance, managed care reimbursement and medical delivery system.
• Ability to rapidly adjust thought process to multiple customers.
• Knowledge of EPIC and PC skills preferred.
• Bilingual a plus.

Working Title:

Patient/Provider Service Rep – Member Services/Call Center (Remote)

Department:

MNS Member Svcs

Business Entity:

Medical Network

Job Category:

,Administrative,Administrative

Job Specialty:

Admissions/Registration

Position Type:

Full-time

Shift Length:

8 hour shift

Shift Type:

Day

Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law. If you need a reasonable accommodation for any part of the employment process, please contact us by email at [email protected] and let us know the nature of your request and your contact information. Requests for accommodation will be considered on a case-by-case basis. Please note that only inquiries concerning a request for reasonable accommodation will be responded to from this email address.

Cedars-Sinai will consider for employment qualified applicants with criminal histories, in accordance with the Los Angeles Fair Chance Initiative for Hiring.

At Cedars-Sinai, we are dedicated to the safety, health and wellbeing of our patients and employees. This includes protecting our patients from communicable diseases, such as influenza (flu) and COVID-19. For this reason, we require that all new employees receive a flu vaccine based on the seasonal availability of flu vaccine (typically during September through April each year) as a condition of employment, and annually thereafter as a condition of continued employment, subject to medical exemption or religious accommodation. For the same reason, you may also be required to receive other vaccines such as COVID-19 as a condition of employment. Cedars-Sinai reserves the right to make modifications to its required list of vaccines as required by law and/or policy.

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