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Customer Service Rep - Santa Ana, CA

KPC Health · kpchealth.com
Santa Ana
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Posted 13 months ago. 3 more Customer Service Representative jobs in Santa Ana, California went up on company career pages this week. See the newer ones

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The job in short

Customer service representative.

Insurance

Details

Found
33 d ago · posted 2025-09-15
Location
Santa Ana, CA, US

Full description

* THIS IS A FULLY ONSITE POSITION* SUMMARY Answers telephones, routes callers, takes messages and provides routine information to callers REQUIREMENTS RESPONSIBILITIES AND DUTIES: • Maintains established departmental policies and procedures, objectives, quality improvement program, safety, environmental and infection control standards. • Operates microfilm equipment in retrieving file data. • Interprets insurance program procedures and provisions to resolve routine patient billing inquires and problems. • Counsels patients requiring external financial assistance, including recommending third parties. • Answers all inquiries regarding patient accounts. • Researches credit balance accounts, refunds overpayments to patient, guarantor or third party payer. • Secures information relative to patient’s financial status or insurance coverage. May complete insurance forms, verify insurance coverage, and secure other information if needed. • Prepares appropriate information for billing personnel. • Answers telephones, routes callers, takes messages and provides routine information to callers. Responds promptly to inquiries and requests. • Negotiates contractual payment plans with patients as authorized. • Performs a variety of routine typing and clerical duties as necessary. • Receives complaints of poor or inadequate service and determines action to be taken. • Traces missing files. • Attends meetings as required. • Other duties as assigned. EDUCATION & EXPERIENCE REQUIREMENTS: • High school diploma or combination of relevant experience and education required. • Previous customer service experience required • Healthcare experience highly preferred SKILLS & ABILITIES REQUIREMENTS: • Outstanding communication, interpersonal, mulit-tasking and analytical skills • The ability work well with minimal supervision in a high-volume environment • Proven ability to remain composed and professionally under difficult situations with a strong team approach • PC proficiency with various Windows applications • Knowledge of phone systems and technology • Skill in recognizing and responding to emergency/high-priority situations PHYSICAL REQUIREMENTS: • Body Positions: Sitting and standing for prolonged periods. • Body Movements: Arm and hand dexterity. • Body Senses: Must have command of close and distant sight, color perception and hearing. • Strength: Ability to lift and move up to 25-pounds. Working Environment: • Work in an office, where the climate is controlled • Occasional travel between medical groups and/or hospitals when necessary. 0-25 % of the time. OSHA exposure category: III • Category I – Position includes tasks that involve exposure to Blood borne Pathogens. • Category II – Position includes tasks that do not have exposure to Bloodborne Pathogens, however employment may require unplanned Category I tasks. • Category III – Positions includes tasks that do not involve exposure to Bloodborne Pathogens. This position would not be required to perform Category I tasks.

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