Job Description
Job Description
We are seeking a bilingual (English/Spanish) Customer Service Representative to join our California Health Care Options (CA HCO) team. This position focuses on community outreach, beneficiary education, enrollment assistance, and customer service.
The ideal candidate will have excellent communication and organizational skills, enjoy working with diverse communities, and be comfortable conducting presentations and assisting individuals with healthcare enrollment options.
Candidates residing in Tuolumne County (MUST reside in Sonora Area) are required to support local community outreach, reliable attendance, and consistent coverage of assigned offices. This position requires travel throughout Tuolumne County and surrounding counties, so a valid California driver's license and proof of auto insurance are required.
Key Responsibilities
- Conduct in-person community outreach and provide enrollment assistance through individual and group presentations.
- Educate beneficiaries on available managed care options and help them understand how to access their healthcare benefits.
- Assist beneficiaries with health plan enrollment, disenrollment, medical exemptions, and waiver inquiries.
- Provide updates regarding enrollment status, medical exemptions, and waiver requests.
- Build and maintain positive relationships with county staff, community organizations, and program participants.
- Conduct training and provide program guidance to county staff and new enrollment representatives.
- Complete accurate data entry and maintain detailed records in the Customer Relationship Management (CRM) database.
- Process and transmit enrollment and disenrollment information according to established procedures.
- Participate in community events, health fairs, and outreach activities as needed.
- Meet established productivity, quality, and performance standards.
- Provide feedback and recommendations to management regarding operational improvements and service quality.
Required Qualifications
- High school diploma, GED, or equivalent.
- Fluency in both English and Spanish, including reading, writing, and speaking.
- Valid California driver's license and proof of auto insurance.
- Ability to travel throughout Yolo County and surrounding counties as needed.
- Basic computer proficiency, including Microsoft Word, Excel, and PowerPoint.
- Ability to type at least 20 words per minute.
- Excellent verbal, written, interpersonal, and organizational skills.
- Ability to manage multiple tasks in a fast-paced, deadline-driven environment.
- Ability to work independently and collaboratively as part of a team.
- Knowledge of the local community and populations being served.
\nCompany Description
InSync Consulting Services is a staffing agency specializing in Healthcare, Commercial, and EOR staffing services.
Company Description
InSync Consulting Services is a staffing agency specializing in Healthcare, Commercial, and EOR staffing services.