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Healthcare Customer Service Representative
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DOCS Management Services
Coos Bay, OR (In Person)
$46,061 Salary, Full-Time
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Job Description
Healthcare Customer Service Representative 289 Laclair Street, Coos Bay, OR 97420 $18.54
- $25.75 an hour
- Full-time $18.54
- $25.75 an hour
- Full-time We are currently hiring a Healthcare Customer Service Representative !
Classification:
NON-EXEMPT
|Status & Schedule:
FULL-TIME, MONDAY
- FRIDAY, 8AM
- 5
PM Location:
ONSITE, this position reports to the Coos Bay Office locationSalary:
$18.54- 25.
HOURLY Department:
MEMBER SERVICES
| Reports to:CUSTOMER SERVICE MANAGER
|Supervision Exercised:
NON-SUPERVISORY
Job Purpose:
Customer Service Representative Responsible for maintaining a customer-oriented approach while ensuring that designated health plan members receive information and direction for covered OHP benefits including medical, behavioral, dental, non-emergent transportation and substance use care and support necessary to meet their needs. This position provides support to health plan members and providers; serves as a resource for staff and community medical personnel and responds to requests for coordinated care information. Qualifications, Education, & Experience Minimum High School Diploma or GED; Associate degree in business administration preferred Minimum two years' experience in a medical office, clinic or healthcare administration setting and two years' experience in customer service-related position THW Certification preferred, or willing to obtain- Must reside in Oregon Bilingual preferred, qualified, certified, or willing to obtain
Essential Responsibilities:
Customer Service Representative Talk with members and providers by phone or in person, handling inquires in a prompt, courteous manner Greet persons entering the building in a professional manner, determine nature and purpose of visit, and direct or call appropriate staff member to escort them to specific destinations Provide information to guests, members and the public, answer questions with discretion and tact Facilitate the resolution of complaints from customers, members, and/or the public, escalate to appropriate staff member(s) as necessary Act as a member advocate and liaison with providers and partners as needed to ensure members are connected to services Receive inquiries and route any issues to the appropriate person or department for resolution, responding in a timely manner and documenting the action taken Understand plan eligibility, benefit package and claims payment requirements Research, verify and resolve inquiries relating to Oregon Health Plan and Advanced Health eligibility Outreach members by phone to complete Health Risk Assessments Complete tracking and status reports Use current technology and software to document all activities from any mode of communication from members, providers and other customers Assist with the preparation and mailing of letters, notices, member handbooks, flyers, etc. as directed Receive and send packages Compose, type and edit correspondence, reports, memoranda and other material as assigned Ensure that the lobby is clean and kept free from clutter; report if windows, floors, walls, furniture, etc. need cleaning or repair Assist with other related clerical and administrative duties as assigned Participate in quality and organizational process improvement activities and teams when requested Ensure compliance with company policies and procedures as applicable to area(s) of responsibility Handle confidential information and materials appropriately and maintain a secure work area Other duties as assigned For a full job description and to formally apply, please visit www.advancedhealth.com/careersJob Type:
Full-time Pay:
$18.54- $25.