Thousand Oaks, CA, 91358, USA
18 hours ago
Healthcare Call Center Representative- Thousand Oaks
Job Title: Customer Service Representative – Health Plans & Provider Support Position Summary: Under general supervision, this role is responsible for handling inbound telephone inquiries from Health Plans, Providers, and Billing Offices. The representative will provide accurate information and resolution support related to RMG services, including claims processing and eligibility verification. Key Responsibilities: + Respond to a high volume of inbound calls (minimum 65 per day) from Health Plans, Providers, and Billing Offices, addressing a variety of service-related inquiries. + Deliver exceptional service by actively listening, anticipating customer needs, and tailoring responses to ensure effective resolution. + Research and resolve routine to complex issues using standardized tools and processes, particularly those related to eligibility, provider availability, and claims. + Provide claim status updates and basic information for externally submitted claims. + Maintain strict adherence to HIPAA guidelines and ensure patient confidentiality at all times. + Process member demographic updates, including address and phone number changes. + Work independently to resolve telephonic issues and manage assigned tasks efficiently. + Prioritize workload to maintain consistent workflow and meet service level expectations. + Communicate clearly and professionally—both verbally and in writing—with internal teams, management, vendors, and external partners. + Exhibit a warm, courteous, and professional phone demeanor, demonstrating empathy, patience, and sound judgment. + Perform additional duties as assigned. Pay and Benefits The pay range for this position is $21.00 - $21.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully onsite position in Thousand Oaks,CA. Application Deadline This position is anticipated to close on Aug 15, 2025. h4>About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
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