NEOGOV · 1 day ago
Customer Service Representative (General)
CalOptima is a mission-driven community-based organization focused on improving member health with excellence and dignity. They are seeking a Customer Service Representative (General) to join their Customer Service team, serving as the first line of contact for members and providers while assisting with inquiries related to Medi-Cal programs in Orange County.
GovTechHuman ResourcesInformation TechnologySoftware
Responsibilities
Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability
Maintains departmental productivity and quality standards
Follows through on and completes all member and provider inquiries or requests during the original member and provider interaction
Serves as a resource for other team members
Addresses member and provider inquiries, questions and concerns in all areas including eligibility, enrollment, claims or authorization status, benefit interpretation and referrals/authorizations for medical care in-person or telephonically
Enters accurate and complete documentation into internal application systems regarding all concerns and/or inquiries from the member and provider interaction
Communicates, builds and maintains internal and external relationships by prompt and accurate service delivery
Identifies and communicates challenges that might arise with the use of professional judgment while adhering to departmental policies and procedures
Completes other projects and duties as assigned
Qualification
Required
High School diploma or equivalent PLUS 6 months of experience in a call center capacity required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying
Typing speed of 35 words per minute (WPM) required
Preferred
6 months of Medi-Cal/Medicaid or health services experience
Benefits
CalPERS pension program and additional retirement packages.
A generous PTO program
A quality work life balance
Various wellness programs
Tuition Reimbursement
Professional development opportunities
Career development opportunities
Flexible scheduling
Company
NEOGOV
NEOGOV is the leading provider of workforce management software uniquely designed for the public sector, education, and public safety.
H1B Sponsorship
NEOGOV has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (13)
2024 (10)
2023 (10)
2022 (18)
2021 (14)
2020 (16)
Funding
Current Stage
Late StageTotal Funding
$700MKey Investors
Warburg Pincus
2025-07-28Secondary Market· $700M
2025-07-28Acquired
2021-06-02Private Equity
Recent News
Canada NewsWire
2025-11-14
2025-11-14
Government Technology US
2025-10-31
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