CSR (Customer Service Advocate)

Immediate need for a talented CSR ( Customer Service Advocate) . This is a 06+ Months Contract opportunity with long-term potential and is located in CA (Remote) . Please review the job description below and contact me ASAP if you are interested. Job ID: 25-67339 Pay Range: $18 - $19/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: Shift: 8:00 AM - 4:30 PM PST - Monday-Friday - No OT Kindly take the Computer Literacy Assessment Computer literacyServes as the first-line advocate who focuses on resolving inquiries, issues, or concerns for members and providers. Leverages a variety of communication channels to provide members and providers with timely, accurate, and personalized support on routine complaints.  CSRs will be calling health plan members to ask them about their medical care. If they haven't completed their recommended tests and screenings, we encourage them to schedule those appointments to keep them healthy. By helping them stay on top of their health care screenings, we are making a difference by transforming the health of our communities one member at a time. Since we are working with the member's private health information, we must be sensitive to the nature of the calls, Specific tasks include the following: adherence to all HIPAA protocol, following scripts at all times, and documentation of all interactions in the provided database. Receives and responds to routine member and provider inquiries, requests, and concerns in an accurate and timely manner Mitigates and prevents complaints from being escalated to resolve the initial contact. Serves as the front-line resolution advocate on various member and provider inquiries, requests, or concerns Resolves basic problems by communicating the requested information regarding the assessment of the member or provider needs, understanding the cause, and determining if problems need to be routed to other departments for further resolution Maintains performance and quality standards based on established contact center metrics Provides customer service in a high-paced contact center environment over the phone, via live chats, and email Documents all member or provider information and communications for quality and performance tracking through the Customer Relationship Management (CRM) applications Remains up-to-date and adheres to quality standards, regulations, and all other policies to ensure quality, consistency, and compliance. Performs other duties as assigned. Complies with all policies and standards Performance indicators:  We rate productivity and efficiency, and call times The daily productivity of each customer service representative will be recorded and monitored.  Make 30-50 member calls in a workday Punctual attendance First Day: Attend IT training and modules, meet with the team, and start job-specific training Key Requirements and Technology Experience:  Key Skills; Customer service, Call Centre, Healthcare, Inbound and outbound calling, Member Service 2+ years of RECENT Member Service Experience in Healthcare/Managed Care/Health Plan & Call Center Setting. Handling Inbound/Outbound calls to healthcare members with daily call quotas Must haves: Call Center Exp, Microsoft Office Skills, Strong Customer Service  Nice to have: Bilingual (Chinese speaking candidates) Professional, empathetic, positive phone demeanour, and enjoys helping people Computer Skills, Experience interacting and multitasking using multiple systems and programs simultaneously, fast, hard-wired internet, and a dedicated work area.  Proof of a High School Diploma/GED or higher is REQUIRED. Must have an on-hand copy of HSD/GED/Transcript. Attendance/Reliability needed. Attendance is mandatory"”no time off is allowed during training. The camera will need to be on at all times. Disqualifiers: No experience in healthcare, medical, or managed care settings. No longevity on work assignments. Work longevity: The resume has no short-term contract or long gaps. Our client is a leading Healthcare Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration. Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here.

Created: 2025-06-07