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Customer Service Representative (Healthnet/Centene)
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Competencies
Demonstrated experience with Microsoft Office.
Demonstrated experience with Word.
Demonstrated experience with Excel.
Demonstrated experience with PowerPoint.
Demonstrated experience with Typing.
Education
Summary
Customer Service Representative (Healthnet/Centene) open to new opportunities
Experience
Customer Service Advocate I
Respond to telephone inquiries from members and providers.. Provide assistance to members/providers for online services and navigation.. Document all activities for quality assurance.. Coordinate transportation and make referrals to other departments.. Assign/update primary care providers.. Assist members with all inquiries and issues.. File grievances for members.. Send provider directories, ID cards, and member handbooks to members.. Assist with special projects.. Ensure that all information in members' files is accurate and up to date.. Transfer calls to appropriate departments/offices.. Comply with all HIPPA and confidentiality guidelines.
Customer Service Representative (Healthnet/Centene)
Respond to telephone inquiries from members and providers.. Provide assistance to members/providers for online services and navigation.. Document all activities for quality assurance.. Coordinate transportation and make referrals to other departments.. Assign/update primary care providers.. Assist members with all inquiries and issues.. File grievances for members.. Send provider directories, ID cards, and member handbooks to members.. Assist with special projects.. Ensure that all information in members' files is accurate and up to date.. Transfer calls to appropriate departments/offices.. Comply with all HIPPA and confidentiality guidelines.
Administrative Receptionist
Created the process and procedures (training) manual for the Administrative Receptionist position.. Assisted Director of Human Resource.. Performed daily opening and closing procedures.. Maintained cleanliness of office.. Managed and maintained front desk area and lobby.. Ordered and maintained office supplies, office snacks, and drinks.. Answered switchboard.. Collected and distributed mail.. Maintained front desk office logs.. Set up offices for new employees.. Greeted and directed guests.. Maintained certain supplies in restrooms.. Coordinated office lunches.. Communicated with various vendors.. Handled deliveries and shipments.. Coordinated special arrangements and requests.. Set up and cleaned conference rooms for meetings and table reads.. Coordinated with Building Security to allow access to guests.. Coordinated with Building Administrator and Maintenance Engineers for repairs.. Validated parking and purchased parking validation stickers.. Coordinated with Parking Supervisor for large events.. Performed all other general office duties.
Front Desk Supervisor / Receptionist
Managed and maintained front desk area and lobby.. Answered switchboard and directed calls appropriately.. Greeted, monitored, and directed patients and visitors.. Performed phone screening/intake for new clients.. Performed house counts and monitored facility to ensure safety.. Assisted in drafting policies and procedures for patients and staff.. Enforced rules, policies, and procedures.. Drafted and maintained house chores and kitchen duty lists.. Processed and managed payroll and time allocation sheets.. Logged and tracked Drug Medi-Cal group activity for billing and provided reports for Drug Medi-Cal activity.. Performed medication calls and breathalyzer tests.. Passed out community plates for homeless population.. Processed daily mail.. Maintained minutes for various meetings and calendar for Program Director.. Reviewed resumes for prospective interviewees (all positions).. Conducted initial over-the-phone interviews of prospective employees and conducted reference checks for prospective new hires.. Drafted, completed, maintained, and forwarded for approval P.A.N. and all other pre and post-hire paperwork and documentation.. Ordered supplies for office, kitchen, and housekeeping.. Drafted and maintained purchase orders.. Performed online research.. Drafted, updated, maintained, and provided reports for patient rosters, case load lists for case managers, room occupancy charts for patients, entry and exit logs for patients, daily operations logs, meal stats, Drug Medi-Cal and Veteran group activity stats.. Assisted Program Director, Program manager, Business Manager, and case managers as needed.. Performed all other general office duties.