Call Center Representative

Job Title: Call Center RepresentativePay Rate: $23.84 per hourNumber of Positions: 18 (all open)Location: San Diego, CATraining will be onsite for 6 weeks, followed by 1-2 weeks onsite or remote.Possible remote work option available after training and successful assessments (dedicated workstation required).Schedule:Start Date: October 30, 2025Orientation: October 30-31, 2025Training: Monday-Friday, 8:30 AM - 5:00 PM (onsite)Post-training work shifts: Monday-Friday, 8:00 AM-6:00 PM or 11:30 AM-8:00 PM, with possible weekends.Must be flexible to support business needs.40 hours per week | 8 hours per day.Position PurposeResponsible for high-quality communication with members, providers, employer groups, internal departments, and external agencies.Key ResponsibilitiesCustomer CareDeliver accurate information on health plan benefits, policies, and procedures.Use judgment to select appropriate resources to assist callers.Maintain customer-focused service in line with organizational standards.Problem ResolutionResearch, investigate, and resolve member concerns and grievances.Manage 60-80 inbound and outbound calls daily in a fast-paced environment.Support service recovery efforts and ensure compliance with HIPAA and Medicare guidelines.Required Skills & ExperienceMinimum 6 months of recent call center experience (required).At least 1 year of overall customer service experience.Healthcare call center experience strongly preferred.Proven ability to meet and exceed KPIs in a structured environment.Strong interpersonal, investigatory, and problem-solving skills.Excellent verbal/written communication and computer skills.Experience with Epic and TalkDesk (preferred).Ability to work long-term assignments (not short stints).Education & CertificationsHigh School Diploma or equivalent (required).Medical Office Certification, including Medical Technology (preferred).Additional NotesStrict KPI standards must be met to remain compliant with role expectations.This is a fast-paced environment requiring flexibility, accuracy, and professionalism.

Created: 2025-10-01