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Southern California Permanente Medical Group
Moreno Valley, California
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Southern California Permanente Medical Group
Panorama City, California
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STAR+PLUS Customer Service Advocate II
JOB SUMMARY:The Customer Service Advocate II is a position within the Community Health Choice Customer Service Center that is primarily responsible for, but not limited to responding to incoming hotline inquiries as they relate to benefits and eligibility verification, claim status (with the ability to identify if a claim requires reconsideration), authorization status, and complaints, accurate documentation recording of all calls; effective follow-up of calls, as required; and proper electronic routing with effective documentation skills while maintaining confidentiality per HIPAA guidelines.JOB SPECIFICATIONS AND CORE COMPETENCIESEssential Functions40% A
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