Top 222 Customer service representative Jobs in Solano County 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 1
Recology —Vacaville, CA
- $29.18 an hour
- Monday to Friday
- Computer literacy
- Writing skills
- Office
- Wellness program
- Paid holidays
Customer Service Representative, CC
Partnership HealthPlan of California —Fairfield, CA
- $29.95 - $35.19 an hour
- Full-time
- Spanish
- Mid-level
- Administrative experience
Customer Service Representative 1 - Bilingual
Recology —Vacaville, CA
- $30.18 an hour
- Monday to Friday
- Spanish
- Computer literacy
- Writing skills
- Wellness program
- Paid holidays
Customer Service Representative - State Farm Agent Team Member
Rena Macdonald - State Farm Agent —Fairfield, CA
- $25 - $35 an hour
- Full-time
- Sales
- Office
- Communication skills
- Health insurance
- Dental insurance
Quick Apply
Contact Center Representative
Travis Credit Union —Vacaville, CA
- $19.98 - $29.01 an hour
- Hybrid work
- Spanish
- Microsoft Outlook
- English
- Health insurance
- Dental insurance
Customer Service Associate
Raising Cane's —Fairfield, CA
- $20 an hour
- Urgently hiring
- No experience needed
- Ability to climb stairs
- Ability to lift 50 pounds
- Paid training
- Disability insurance
Quick Apply
First Legal Coordinator
First Legal Network LLC —Fairfield, CA
- $40,000 - $70,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Health insurance
- Dental insurance
Customer Service Rep
Vishay Precision Group —Concord, CA
- $31.73 - $36.00 an hour
- Full-time
- Microsoft Outlook
- Mid-level
- Office
- AD&D insurance
- Paid holidays
Quick Apply
2d
Call Center Representative I - Napa County
CommuniCare+OLE —Napa, CA
- $24.21 - $29.59 an hour
- Full-time
- Spanish
- English
- Microsoft Office
- 403(b) matching
- Health savings account
Quick Apply
Customer Service Representative
Cornerstone Building Brands —Vacaville, CA
- $20 - $22 an hour
- Online Application
- Hybrid work
- 18 years or older
- Microsoft Excel
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply
6d
CUSTOMER SERVICE
Bay Area Property Services —Walnut Creek, CA
- Email
- Entry level
Vietnamese-English Bilingual Healthcare Customer Service Representative - Remote in California
TTEC —California
- $21.65 an hour
- Full-time
- Remote
- English
- Research
- Windows
- Wellness program
- Tuition reimbursement
Russian-English Bilingual Healthcare Customer Service Representative - Remote in California
TTEC —California
- $21.65 an hour
- Full-time
- Remote
- English
- Research
- Windows
- Wellness program
- Tuition reimbursement
Customer Service Advisor
Jiffy Lube —Benicia, CA
- From $17 an hour
- 8 hour shift
- Background check
- English
- High school diploma or GED
- Paid training
- Health insurance
Quick Apply
Customer Service Field Representative
Seeno Homes —Concord, CA
- $28 - $34 an hour
- Full-time
- Background check
- Clean driving record
- Construction site
- Health insurance
- Dental insurance
Quick Apply
13d
Customer Service Advisor
Jiffy Lube —Vacaville, CA
- From $17 an hour
- 8 hour shift
- Background check
- English
- High school diploma or GED
- Paid training
- Health insurance
Quick Apply
Customer Service Agent
Fiesta Auto Insurance —Vallejo, CA
- $50,000 - $125,000 a year
- 8 hour shift
- Spanish
- Office
- High school diploma or GED
- Paid training
- Paid holidays
Quick Apply
Customer Service Advisor
Jiffy Lube —Fairfield, CA
- From $17 an hour
- 8 hour shift
- Background check
- English
- High school diploma or GED
- Health insurance
Quick Apply
Customer Service Gaming Associate
Knighted Ventures —American Canyon, CA
- $21 - $23 an hour
- Weekends as needed
- Background check
- Customer service
- Basic math
- Health insurance
- Dental insurance
Quick Apply

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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 service representative jobs in solano county ca

Claims Customer Service Representative I

Customer Service Representative 1

Customer Service Representative, CC

Customer Service Representative 1 - Bilingual

Customer Service Representative - State Farm Agent Team Member

Contact Center Representative

Customer Service Associate

First Legal Coordinator

Customer Service Rep

Call Center Representative I - Napa County

Customer Service Representative

CUSTOMER SERVICE

Vietnamese-English Bilingual Healthcare Customer Service Representative - Remote in California

Russian-English Bilingual Healthcare Customer Service Representative - Remote in California

Customer Service Advisor

Customer Service Field Representative

Customer Service Advisor

Customer Service Agent

Customer Service Advisor

Customer Service Gaming Associate

I want to receive the latest job alert for customer service representative in solano county ca

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