High volume call center I am responsible for fielding customer complaints and resolving them. Tracking customer service issues and returns. Managing product and lost shipment complaints. Creating and maintaining accounts.

Answering calls in a high paced business environment for both members and providers.Handled up to 75 inbound calls a dayHandled up to 10 outbound calls a dayAssist members with medical questions and concernsAssist members with all questions regarding all aspects of Medi-Cal benefitsProviding accurate insurance information on coverage and policy.Providing information based on the DoFR, EOB and general policyMake changes of Primary Care Providers and Primary Medical… Show more Answering calls in a high paced business environment for both members and providers.Handled up to 75 inbound calls a dayHandled up to 10 outbound calls a dayAssist members with medical questions and concernsAssist members with all questions regarding all aspects of Medi-Cal benefitsProviding accurate insurance information on coverage and policy.Providing information based on the DoFR, EOB and general policyMake changes of Primary Care Providers and Primary Medical GroupExplained coverage policies to providers including who is at risk for services provided and billing informationDirecting appeals and grievances to the proper departments.Handle pharmacy questions and issues.HIPAA and other insurance laws and policies. Show less

i run the damn place.

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