Customer Service Quality Audit Representative (Los Angeles)

This position is responsible for routine audits on individuals customer service representatives on Customer Service Module and REA / LEAD customers service case, responsible for training the customer service representatives and answers questions relating to eligibility, referrals, provider availability, claims status and department procedures. Handling escalated inquiries from members, Health Plans, providers and employer groups, to provide information and clarification on RMG services.

Education and / or Experience :

• High School Graduate or equivalent required.
• Previous trainer or lead experience in a call center.
• 3 years' experience in medical office or healthcare setting.
• Previous experience monitoring calls and coaching representatives.
• Ability to deal responsibly with matters of a confidential nature.
• Ability to prioritize work in order to meet daily deadlines.
• Must have excellent communication skills, both verbal and written.
• Ability to read, write and understand the English language.
• Pleasant telephone manner.
• Working knowledge of MS Word, Excel, Outlook.
• Working knowledge of Cisco phone system
• Ability to operate PC based software programs or automated data base management systems
• Thorough knowledge of company internal policies and procedures relating to service, medical management, eligibility and claims.
• Training experience in handling sensitive situations for members.

Essential Duties and Responsibilities include the following :

The pay range for this position at commencement of employment is expected to be $25 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 :

Savings and Retirement :

Other Benefits :

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.