Customer Service Specialist
(Contract with TotalMed Staffing)• Act as the primary point of contact and liaison for SCFHP members and providers contacting the plan regarding general inquiries, concerns or requests for information.• Makes 100+ DAILY Outbound calls to Members for HIF-MIT Questionnaire project.• Follow established guidelines and resources to respond to member and provider inquiries and resolve concerns in an accurate, timely, professional, and culturally competent manner.Transportation Specialist• The Transportation Specialist is responsible for arranging covered transportation services to support Customer Service Department operations in a manner that maintains compliance with Medicare and Medi-Cal regulatory requirements and achieves Call Center service-level objectives• On a daily basis, receive, review and arrange member requests for transportation • Appropriately handle member and provider transportation requests/inquiries through channels such as telephone, voicemail, email, fax, walk-in, etc. in accordance with Call Center established procedures.