Project: CA HCO
Job Title: CSR 1 - Bilingual (Temporary Remote)
Start Date: TBD
Job duration: Temp to hire
Pay Rate: ***/bilingual
Remote training: 4-5 weeks
Assessments needed: Waived
Interview: Waived, Prescreening done by agency
Only need Languages Mien, Korean and Cantonese speakers. Do not fill with any other languages.
Monday to Friday, 8am to 6pm PST
Must be local to Rancho Cordova or surrounding cities - will retrieve equipment at *** office site. They will need to return to site when the site reopens.
All equipment is provided. This project qualifies eligible families for health care plans and explains the difference for different health care plans.
This is typically inbound calls but may have to follow up and make outbound calls. All that is needed is high speed internet and a quiet workspace. No Part time schedules can be accommodated. If you have someone that speaks a language other than those listed, let me know! I can find out if its supported by the project.
JOB RESPONSIBILITIES:
1. Responds to inbound 800-line calls and completes outbound support calls, provides responses to questions, and in specific instances, refers callers to the appropriate supervisor, county or state agency representatives for service and/or when problems or concerns occur.
2. Assists beneficiaries by completing enrollment transaction request transactions, as applicable.
3. Maintains updated knowledge of the HCO program, including its policies and procedures as referenced in the employee manual and other policies adopted by corporate, the project and/or client and as referenced in desk procedures for the position.
4. Maintains knowledge of contract compliance provisions of the project and meets those provisions that are applicable to this job position.
5. Follows policies and procedures applicable to the position.
6. Maintains updated knowledge of managed care plans that are available to beneficiaries in their service area.
7. Assists beneficiaries in enrolling/disenrolling in managed care plans.
8. Assists beneficiaries with medical exemptions and waiver inquiries.
9. Provides beneficiaries with status of enrollment/disenrollment, medical exemptions, and waivers.
10. Meets Production and Quality Assurance goals as defined for this position.
11. Meets all standards established for this position as outlined in the attached performance criteria.
12. Provides backup to the forms processing and research functions in Central Operations at minimum quality standards as specified for a Forms Processor and a Research Analyst level.
13. Performs other duties as may be assigned by management.
EDUCATION/EXPERIENCE/ADDITIONAL REQUIREMENTS: High School diploma, GED, or equivalent certification; one years of experience in the field or related area; computer literacy with the ability to quickly learn new software programs; demonstrated ability to follow procedures and meet quality and production standards set for the position or equivalent; excellent organizational, interpersonal, written, and verbal communication skills; ability to perform comfortably in a fast-paced, deadline-oriented work environment; ability to successfully execute many complex tasks simultaneously; ability to work as a team member, as well as independently; and computer literacy with the ability to quickly learn new software programs. Preferred qualifications include experience in a health or human services field dealing with the public in a call center environment; and bilingual fluency in English and one of these commonly spoken languages: Armenian, Cambodian, Cantonese, Japanese, Korean, Mandarin, Russian, Tagalog, Thai, Laotian, and Vietnamese.
ESSENTIAL PHYSICAL AND MENTAL FUNCTIONS:
1. Must be able to remain in a stationary position for an extended period of time.
Answer incoming calls from consumers including the general public, prospective enrollees and people assisting enrollees or acting on their behalf in accordance with all performance standards, policy and procedures, and protocols including but not limited to the confidentiality and privacy policies. Track and document all inquiries using the applicable systems. Answer incoming calls from consumers and providers requesting information about the Medicaid Newborn process, Good Cause, and/or Presumptive Eligibility for children. Complete associated tasks according to the established guidelines. Track and document all inquiries using the applicable systems. Meet Quality Assurance (QA) and other key performance metrics. Facilitate the fulfillment of caller requests for materials via mail, email, or download. Transfer/refer consumers to appropriate entities according to the established guidelines.Escalate calls or issues to the appropriate designated staff for resolution as needed.Facilitate translation services for nonEnglish speaking callers according to procedures. Attend meetings and trainings as requested and maintains uptodate knowledge of all programs and systems.
Nesco Resource offers a comprehensive benefits package for our associates, which includes a MEC (Minimum Essential Coverage) plan that encompasses Medical, Vision, Dental, 401K, and EAP (Employee Assistance Program) services.
Nesco Resource provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
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Job Title: CSR 1 - Bilingual (Temporary Remote)
Start Date: TBD
Job duration: Temp to hire
Pay Rate: ***/bilingual
Remote training: 4-5 weeks
Assessments needed: Waived
Interview: Waived, Prescreening done by agency
Only need Languages Mien, Korean and Cantonese speakers. Do not fill with any other languages.
Monday to Friday, 8am to 6pm PST
Must be local to Rancho Cordova or surrounding cities - will retrieve equipment at *** office site. They will need to return to site when the site reopens.
All equipment is provided. This project qualifies eligible families for health care plans and explains the difference for different health care plans.
This is typically inbound calls but may have to follow up and make outbound calls. All that is needed is high speed internet and a quiet workspace. No Part time schedules can be accommodated. If you have someone that speaks a language other than those listed, let me know! I can find out if its supported by the project.
JOB RESPONSIBILITIES:
1. Responds to inbound 800-line calls and completes outbound support calls, provides responses to questions, and in specific instances, refers callers to the appropriate supervisor, county or state agency representatives for service and/or when problems or concerns occur.
2. Assists beneficiaries by completing enrollment transaction request transactions, as applicable.
3. Maintains updated knowledge of the HCO program, including its policies and procedures as referenced in the employee manual and other policies adopted by corporate, the project and/or client and as referenced in desk procedures for the position.
4. Maintains knowledge of contract compliance provisions of the project and meets those provisions that are applicable to this job position.
5. Follows policies and procedures applicable to the position.
6. Maintains updated knowledge of managed care plans that are available to beneficiaries in their service area.
7. Assists beneficiaries in enrolling/disenrolling in managed care plans.
8. Assists beneficiaries with medical exemptions and waiver inquiries.
9. Provides beneficiaries with status of enrollment/disenrollment, medical exemptions, and waivers.
10. Meets Production and Quality Assurance goals as defined for this position.
11. Meets all standards established for this position as outlined in the attached performance criteria.
12. Provides backup to the forms processing and research functions in Central Operations at minimum quality standards as specified for a Forms Processor and a Research Analyst level.
13. Performs other duties as may be assigned by management.
EDUCATION/EXPERIENCE/ADDITIONAL REQUIREMENTS: High School diploma, GED, or equivalent certification; one years of experience in the field or related area; computer literacy with the ability to quickly learn new software programs; demonstrated ability to follow procedures and meet quality and production standards set for the position or equivalent; excellent organizational, interpersonal, written, and verbal communication skills; ability to perform comfortably in a fast-paced, deadline-oriented work environment; ability to successfully execute many complex tasks simultaneously; ability to work as a team member, as well as independently; and computer literacy with the ability to quickly learn new software programs. Preferred qualifications include experience in a health or human services field dealing with the public in a call center environment; and bilingual fluency in English and one of these commonly spoken languages: Armenian, Cambodian, Cantonese, Japanese, Korean, Mandarin, Russian, Tagalog, Thai, Laotian, and Vietnamese.
ESSENTIAL PHYSICAL AND MENTAL FUNCTIONS:
1. Must be able to remain in a stationary position for an extended period of time.
Answer incoming calls from consumers including the general public, prospective enrollees and people assisting enrollees or acting on their behalf in accordance with all performance standards, policy and procedures, and protocols including but not limited to the confidentiality and privacy policies. Track and document all inquiries using the applicable systems. Answer incoming calls from consumers and providers requesting information about the Medicaid Newborn process, Good Cause, and/or Presumptive Eligibility for children. Complete associated tasks according to the established guidelines. Track and document all inquiries using the applicable systems. Meet Quality Assurance (QA) and other key performance metrics. Facilitate the fulfillment of caller requests for materials via mail, email, or download. Transfer/refer consumers to appropriate entities according to the established guidelines.Escalate calls or issues to the appropriate designated staff for resolution as needed.Facilitate translation services for nonEnglish speaking callers according to procedures. Attend meetings and trainings as requested and maintains uptodate knowledge of all programs and systems.
Nesco Resource offers a comprehensive benefits package for our associates, which includes a MEC (Minimum Essential Coverage) plan that encompasses Medical, Vision, Dental, 401K, and EAP (Employee Assistance Program) services.
Nesco Resource provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.