Top 989 Customer experience representative Jobs in Napa Ca

Claims Customer Service Representative I
Partnership HealthPlan of California —Fairfield, CA
- $29.95 - $35.19 an hour
- Full-time
- Computer literacy
- Research
- High school diploma or GED
Customer Service Representative, CC
Partnership HealthPlan of California —Fairfield, CA
- $29.95 - $35.19 an hour
- Full-time
- Spanish
- Mid-level
- Administrative experience
Clerk
Partnership HealthPlan of California —Fairfield, CA
- $25.87 - $30.40 an hour
- Full-time
- Word processing
- Office
- High school diploma or GED
Customer Service Representative
Skyservice Business Aviation —Napa, CA
- Overtime
- 18 years or older
- Sales
- Computer literacy
- Health insurance
- Dental insurance
3d
Customer Service Representative
Distribution International —Benicia, CA
- $20 - $40 an hour
- 18 years or older
- Basic math
- Ability to lift 50 pounds
- Wellness program
- Health savings account
Claims Resolution Coordinator
Partnership HealthPlan of California —Fairfield, CA
- $37.22 - $46.53 an hour
- Full-time
- Computer literacy
- Mid-level
- Office
9d
Floating Member Services Representative
Self-Help —Napa, CA
- $25.00 - $31.88 an hour
- Full-time
- Spanish
- English
- Office
6d
Coordinator I
Partnership HealthPlan of California —Fairfield, CA
- $28.52 - $33.51 an hour
- Full-time
- Spanish
- Microsoft Excel
- Computer literacy
Patient Access Representative (Per Diem)
Sonoma Valley Hospital —Sonoma, CA
- $26.95 - $35.03 an hour
- Per diem
- Bilingual
- Hospital
- High school diploma or GED
MOTOR VEHICLE REPRESENTATIVE
Department of Motor Vehicles —Napa County, CA
- $3,745 - $5,429 a month
- Part-time
- Writing skills
- Mid-level
- Office
- Disability insurance
- Health insurance
9d
Patient Access Representative
Sonoma Valley Hospital —Sonoma, CA
- $23.43 - $30.47 an hour
- Full-time
- Bilingual
- Hospital
- High school diploma or GED
Access Representative I - Napa
CommuniCare+OLE —Napa, CA
- $24.21 - $29.59 an hour
- Full-time
- Spanish
- CPR Certification
- BLS Certification
- 403(b) matching
- Health savings account
Quick Apply
2d
Restoration Project/Team Lead
Great American Dry Cleaners —San Pablo, CA
- From $25 an hour
- Full-time
- Management
- Mid-level
- Office
Quick Apply
Vineyard Truck Driver
St. Supery Estate Vineyards —Saint Helena, CA
- $27 - $33 an hour
- Temporary
- CDL B
- Clean driving record
- Customer service
Quick Apply
Inside Sales Representative
Pan-Pacific Supply Company —Concord, CA
- Full-time
- Microsoft Outlook
- Word processing
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Physician Assistant -Ortho Surgical (Full Time, Days)
Northbay Healthcare —Vacaville, CA
- $88.42 - $107.45 an hour
- Full-time
- Microsoft Word
- Microsoft Outlook
- Surgery
Science Adjunct Instructor
California Institute of Applied Technology —California
- $33 - $38 an hour
- Part-time
- Remote
- Microsoft Word
- 18 years or older
- Microsoft Excel
- Work from home
Intake Coordinator- Acute or Specialty
Apex Infusion Pharmacy —Rohnert Park, CA
- $30 - $35 an hour
- 8 hour shift
- Customer service
- Word processing
- Computer literacy
- Health insurance
- Paid time off
Quick Apply
CNA - Certified Nursing Assistant
Park View Post Acute —Santa Rosa, CA
- $22 - $25 an hour
- Extended hours
- CPR Certification
- Skilled nursing facility
- Nursing home
- Paid training
- Continuing education credits
Quick Apply
Instrumentation and Controls Engineer II
CECO Environmental —American Canyon, CA
- $125,000 - $135,000 a year
- Full-time
- AutoCAD
- System design
- Mid-level
- Health insurance
- Dental insurance

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Claims Customer Service Representative I

Partnership HealthPlan of California -
Fairfield, CA

Apply Now

Job Details

Full-time
$29.95 - $35.19 an hour

Qualifications

Customer communication
Computer literacy

Full Job Description

Overview:

To research and resolve provider telephone and written inquiries within established time frames, accurately screen claims, and participate in provider meetings and projects. To accurately research and process paper and electronic medical, outpatient, ancillary, long term care, CHDP, encounter data and paper crossover/other coverage claims within established time frames, applying appropriate program policies related to claims processing and analysis.

Responsibilities:

Responds to provider telephone inquiries, researches policy issues, and analyzes EOP's and claim history, recommends resolution to the issues, implements resolution once approved.
Researches and communicates outcome to providers of CIF's, claim tracers, and general claim correspondence within established time frames
Follows established Partnership policies and procedures, Partnership claims operating instruction memorandums, EDS provider manual guidelines, and Title 22 regulations when resolving claims and claim issues.
Participates in provider meetings to resolve claim issues.
Recognizes and gives feedback to management on procedure changes that would result in more efficient operations.
Records daily production statistics and related activities on appropriate reports; turns all logs and reports in to Claims Customer Service Supervisor.
Meets established production and call performance metrics as determined.
Participates in special projects and assignments as required.
Participates in resolution of CIFs as required.
Other duties as assigned.

Qualifications:

Education and Experience

High school diploma or equivalent; one (1) year of prior claims processing experience in an automated claim environment preferred; or equivalent combination of education and experience.

Special Skills, Licenses and Certifications

Knowledge of CPT, HCPC procedure coding, and ICD-10 diagnostic coding. Knowledge of medical terminology preferred. Ability to access coding reference guides for accurate information. Typing speed 30 wpm and proficient use of 10-key calculator.

Performance Based Competencies

Excellent written and oral communication skills. Ability to effectively exercise good judgment within scope of authority and handle sensitive issues with tact and diplomacy. Good organizational skills. Ability to accurately complete tasks within established time frames.

Work Environment And Physical Demands

Ability to use a computer keyboard. More than 80% of work time is spent in front of a computer monitor; when required, ability to move, carry, or lift objects of varying size weighing up to 25 lbs.

All HealthPlan employees are expected to:

Provide the highest possible level of service to clients;
Promote teamwork and cooperative effort among employees;
Maintain safe practices; and
Abide by the HealthPlan’s policies and procedures, as they may from time to time be updated.

HIRING RANGE:

$ 29.95 - $ 35.19

IMPORTANT DISCLAIMER NOTICE

The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.

Apply Now

Refine Your Search

customer experience representative jobs in napa ca

Claims Customer Service Representative I

Customer Service Representative, CC

Clerk

Customer Service Representative

Customer Service Representative

Claims Resolution Coordinator

Floating Member Services Representative

Coordinator I

Patient Access Representative (Per Diem)

MOTOR VEHICLE REPRESENTATIVE

Patient Access Representative

Access Representative I - Napa

Restoration Project/Team Lead

Vineyard Truck Driver

Inside Sales Representative

Physician Assistant -Ortho Surgical (Full Time, Days)

Science Adjunct Instructor

Intake Coordinator- Acute or Specialty

CNA - Certified Nursing Assistant

Instrumentation and Controls Engineer II

I want to receive the latest job alert for customer experience representative in napa ca

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