Customer Service Representative - CHOC MSO

Rady Children's Hospital-San Diego is seeking a Customer Service Representative to join their team. The role involves supporting relationships with members, providers, and health plans, providing timely resolution of issues and answering questions. This position offers an opportunity to learn and grow within the medical insurance industry. Responsibilities Answering calls from provider offices and members of the medical group Performing PCP assignment updates Providing or scheduling translation services Data entry of authorization requests Authorization processing Researching and responding to provider calls regarding authorization or claim payment status Any other questions they may have Skills High School graduate, GED, or Equivalent 1 year of experience (Bachelor's degree considered in lieu of experience) Excellent communication and interpersonal skills Knowledge of medical terminology, ICD-10 codes, CPT Codes, HCPC Codes, Health Plan benefits, or claims Positive, friendly demeanor Superb listening skills with natural curiosity Strong time management and multi-tasking ability with attention to details Outstanding communication skills, both verbally and in writing Patience, compassion, and empathy Masterful problem-solver Motivation to meet (or exceed) service goals Bachelor's Degree Previous experience in the health care field, such as hospital, medical group, health insurance, or other Risk Bearing Organization (RBO) Computer skills, including Excel, EZ Cap, Word, Outlook, and data entry systems Benefits Full time with benefits Generous paid time off Optional overtime Company Overview Ranked as one of the 10 best children’s hospitals in the nation by U.S. It was founded in 1954, and is headquartered in San Diego, California, USA, with a workforce of 1001-5000 employees. Its website is Company H1B Sponsorship Rady Children's Hospital-San Diego has a track record of offering H1B sponsorships, with 9 in 2025, 10 in 2024, 7 in 2023, 9 in 2022, 8 in 2021, 4 in 2020. Please note that this does not guarantee sponsorship for this specific role.