Job Description

To verify and document member’s demographics, resend out members correspondence materials. Call and survey member disenrollment and document the outcome for tracking purposes and assist customer service phone queue as needed.

Essential Duties and Responsibilities include the following:

• Updating member’s demographics, Send faxes to providers office, calling member to verify correct demographic, after receiving demographic update from provider/ member update correct information in EZ Cap.
• Disenrollment, Calling members that are no longer with medical group asking survey questions as to why no longer with medical group. (member retention)
• Messages for customer service department, taking messages when there is a high call volume in the Queue.
• Eligibility, looking up information for providers that pertains to patient information (ex PCP, Termination date, Medical Group etc.)
• Authorization, Assisting providers/ members with authorization status, assisting providers with referral network information.
• Mailing, sorting mail so that it is distributed to the correct location (ex Medical records for claims , Providers returned mail)

The pay range for this position at commencement of employment is expected to be $21 per hour; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, licensure, skills, and experience.

The total compensation package for this position may also include other elements, including a sign-on bonus and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered.

Details of participation in these benefit plans will be provided if an employee receives an offer of employment.

If hired, employee will be in an “at-will position” and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.

As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.

Full Time Position Benefits:

The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization, but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life.

Our dedication to our staff is evident in our comprehensive benefits package. We offer a very generous mixture of benefits, including many employer-paid options.

Health and Wellness:

• Employer-paid comprehensive medical, pharmacy, and dental for employees
• Vision insurance
• Zero co-payments for employed physician office visits
• Flexible Spending Account (FSA)
• Employer-Paid Life Insurance
• Employee Assistance Program (EAP)
• Behavioral Health Services

Savings and Retirement:

• 401k Retirement Savings Plan
• Income Protection Insurance

Other Benefits:

• Vacation Time
• Company celebrations
• Employee Assistance Program
• Employee Referral Bonus
• Tuition Reimbursement
• License Renewal CEU Cost Reimbursement Program
• Business-casual working environment
• Sick days
• Paid holidays
• Mileage

Employer will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the LA City Fair Chance Initiative for Hiring Ordinance.

Qualifications

Education and/or Experience:

• High School graduate equivalent.
• One years of varied, increasingly responsible secretarial experience.
• Good written and verbal communication skills.
• Knowledge of Windows-based computer skills preferred.
• Well organized.
• Ability to work well under pressure