Job Description
Job Title: Call Center Representative
Pay Rate: $23.84 per hour
Number of Positions: 18 (all open)
Location: San Diego, CA
- Training will be onsite for 6 weeks, followed by 1–2 weeks onsite or remote.
- Possible remote work option available after training and successful assessments (dedicated workstation required).
Schedule:
- Start Date: October 30, 2025
- Orientation: October 30–31, 2025
- Training: Monday–Friday, 8:30 AM – 5:00 PM (onsite)
- Post-training work shifts: Monday–Friday, 8:00 AM–6:00 PM or 11:30 AM–8:00 PM, with possible weekends.
- Must be flexible to support business needs.
- 40 hours per week | 8 hours per day.
Position Purpose
Responsible for high-quality communication with members, providers, employer groups, internal departments, and external agencies.
Key Responsibilities
Customer Care
- Deliver accurate information on health plan benefits, policies, and procedures.
- Use judgment to select appropriate resources to assist callers.
- Maintain customer-focused service in line with organizational standards.
Problem Resolution
- Research, investigate, and resolve member concerns and grievances.
- Manage 60–80 inbound and outbound calls daily in a fast-paced environment.
- Support service recovery efforts and ensure compliance with HIPAA and Medicare guidelines.
Required Skills & Experience
- Minimum 6 months of recent call center experience (required).
- At least 1 year of overall customer service experience.
- Healthcare call center experience strongly preferred.
- Proven ability to meet and exceed KPIs in a structured environment.
- Strong interpersonal, investigatory, and problem-solving skills.
- Excellent verbal/written communication and computer skills.
- Experience with Epic and TalkDesk (preferred).
- Ability to work long-term assignments (not short stints).
Education & Certifications
- High School Diploma or equivalent (required).
- Medical Office Certification, including Medical Technology (preferred).
Additional Notes
- Strict KPI standards must be met to remain compliant with role expectations.
- This is a fast-paced environment requiring flexibility, accuracy, and professionalism.
Job Tags
Hourly pay, Work at office, Remote work, Monday to Friday, Flexible hours, Shift work, Weekend work,