Clerical Assistant Level 1 (Pleasanton, CA) The Clerical Assistant will function as support to the Member Service Department to ensure smooth workflow and productivity. He/she will receive calls, determine nature of business, and will direct calls to destination by performing the following duties: Operates telephone console to receive incoming calls Directs caller to destination Performs a variety of clerical duties Mail distribution including receiving UPS and FedExAddress changes Redirects return mail Update procedures manual Responsible for composing the new hire binder May assist Operations with month end tasks Occasional moderate to heavy lifting, occasional travel to local mail house and/or local post office Reliable and predictable attendance is an essential function of this job Clerical Assistant Levels: Level I - The Member Service Representative (MSR) Clerical Assistant will function as support to the Member Service Department to ensure smooth workflow and productivity. Operates telephone console to receive incoming calls; direct caller to designated MSR's. ITL call messages if necessary. Compiles and accurately gathers information to record Member Service statistical reports on a daily, weekly monthly and yearly basis. All incoming mail is issue tracked to the appropriate MSR and copy saved on appropriate M drive/Fund specific. Process and log incoming injury detail letters by reviewing and tagging all related claims via ITL to the appropriate Claims Analyst. Assists MSR's with requests, i.e.: additional information, PT, DME, Pre-Auth. Input of medical information to system, such as Physical Therapy RX's; Durable Medical Equipment details, Pre authorizations (medical/dental) on El Dorado System with proper system documentation and other documentation that is deemed important for a Members record keeping. Prepare medical records for independent medical review. Tracking and logging of all appeals. Pick up all after hour/voicemails calls and move appropriately within the team. May be assigned special projects. Level II - Must have met the "Level I" requirements and has continued to maintain with their workload in a timely manner and consistency in accuracy of information being moved throughout the departments. Has proven ability to provide accurate information in all areas of responsibility. Has the ability to train his/her co-workers. May be assigned special projects.
Qualifications:
Excellent customer service skills are a must. Education and/or Experience High school diploma or GED and at least one year of experience with multiple line switchboard is required.
Language Skills:
Must speak clearly and professionally. Ability to understand directions and follow them through to the end of task. Reasoning Ability - Ability to apply common sense to carry out detailed written or verbal instructions.
Work Environment:
Fast paced department. Phone calls are continuous and occasionally unpleasant. Must be able to maintain composure with difficult callers.
Work Schedule: Full time. Monday Friday, 8:00am 4:30pm. Required in office (no at-home days).
Competitive Benefits:- Medical/Dental/Vision, with option for dependent coverage
- Flexible spending accounts
- Company-paid basic life/AD&D, short-term disability, long-term disability insurance15 days Paid Time Off during first full calendar year11 paid holidays
- Up to 5 days of paid bereavement leave
- Up to 20 days of paid jury duty leave 401(k) with employer match
Pay:
The current starting rate for this position is $31.49. This is a union position. The wage rate for this position is determined by the collective bargaining agreement and may be dependent on experience, skills, education and other business factors.
Our Culture:
Collaboration: working together across 31 locations to achieve the best for the company and our clients
Dedication: striving to create an environment where all employees work toward a common goal while committing to providing the best customer service to our members and our colleagues
Integrity: doing what we say we will do. Upholding strong ethical and moral principlesADA & EEO Reasonable accommodations will be made so that qualified individuals with disabilities are able to complete the application process and, if hired, fulfill the essential functions of their job.
