Hourly Rate: $23.00 - $31.05/hr Offer will be made by the client based on experience and based on their internal scale Schedule is Monday-Friday, hours from 9am-5:30pm Bilingual in English and in one of the defined threshold languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese) required. Job Summary One of our most prestigous healthcare clients is seeking a highly motivated an experienced TEMP - Customer Service Representative (OneCare) to join our team. The Customer Service Representative (CSR) will be the first line of contact for members and providers. The incumbent will assist members and providers with questions related to the OneCare program. The incumbent will provide information regarding eligibility, enrollment, benefits and services to OneCare eligible members and providers. Position Information: - Department: Customer Service - Salary Grade: 301 - $23.00 - $31.05/hr - Work Arrangement: Full Office Duties & Responsibilities: - 95% - Program Support Participates in a mission driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short and long-term goals/priorities for the department. Guides members in understanding and accessing the benefits they are entitled to under Medicare and Medical, through the OneCare program. Address member and provider inquiries, questions and concerns in all areas including eligibility, enrollment, claims or authorization status, benefit interpretation and referrals/authorizations for medical care in-person or telephonically. Enters accurate and complete documentation into internal application systems regarding all concerns and/or inquiries from the member and provider interaction. Initiates referrals to both internal/external care management departments and other departments, governments or community agencies. Participates in departmental phone outreach campaigns on a regular basis. - Participates in a mission driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. - Assists the team in carrying out department responsibilities and collaborates with others to support short and long-term goals/priorities for the department. - Guides members in understanding and accessing the benefits they are entitled to under Medicare and Medi-Cal, through the OneCare program. - Address member and provider inquiries, questions and concerns in all areas including eligibility, enrollment, claims or authorization status, benefit interpretation and referrals/authorizations for medical care in-person or telephonically. - Enters accurate and complete documentation into internal application systems regarding all concerns and/or inquiries from the member and provider interaction. - Initiates referrals to both internal/external care management departments and other departments, governments or community agencies. - Participates in departmental phone outreach campaigns on a regular basis. - 5% - Completes other projects and duties as assigned. Minimum Qualifications: - High school diploma or equivalent required. 6 months of experience in a call center capacity required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. - Bilingual in English and in one of the defined threshold languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese) required. Preferred Qualifications: - 6 months of health maintenance organization (HMO), Medi-Cal/Medicaid and health services experience. - Typing speed of 35 words per minute (WPM). Required Licensure / Certifications: - n/a Knowledge & Abilities: - Develop rapport and establish and maintain effective working relationships with leadership and staff and external contacts at all levels and with diverse backgrounds. - Work independently and exercise sound judgment. - Communicate clearly and concisely, both orally and in writing. - Work a flexible schedule; available to participate in evening and weekend events. - Organize, be analytical, problem-solve and possess project management skills. - Work in a fast-paced environment and in an efficient manner. - Manage multiple projects and identify opportunities for internal and external collaboration. - Motivate and lead multi-program teams and external committees/coalitions. - Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): - Ability to visually read information from computer screens, forms and other printed materials and information. - Ability to speak (enunciate) clearly in conversation and general communication. - Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. - Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. - Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: - Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. - There are no harmful environmental conditions present for this job. - The noise level in this work environment is usually moderate. The Midtown Group is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. We are a small, woman-owned business certified by the Women's Business Enterprise National Council (WBENC). Operating from our headquarters in Washington, DC, we provide trusted staffing services nationwide. Our clients include thousands of the most prestigious Fortune 500 companies, law firms, financial organizations, tech innovators, non-profits, and lobbying firms, as well as federal, state and local government agencies.