CareOregon

Making health care work for everyone.

Customer Service Representative

Full TimeRemoteTeam 501-1,000Since 1994Company SiteLinkedIn

Location

Idaho + 4 moreAll locations: Idaho, Oregon, Texas, Utah, Wisconsin

Posted

1 day ago

Salary

$18 - $22 / hour

1 yr expEnglish

Job Description

• Research, verify and resolve inquiries related to Oregon Health Plan (OHP) or Medicare eligibility with guidance from Supervisor and Customer Service Operations Specialists • Respond and assist members with Primary Care Provider (PCP) assignments • Collaborate with others within Customer Experience and other CareOregon departments to service member customers and explain OHP or Medicare benefit coverage • Use Call Tracking system to document all communications and activities in relation to members, providers and other customers • Maintain confidentiality for all members • Treat all members with honesty, courtesy, dignity and respect • Identify and report any system or process issues; contribute suggestions for improvement • May assist with outbound calls to Medicaid and Medicare members such as welcome and retention calls

Job Requirements

  • Minimum 1 year experience working in customer service or health care
  • Work experience in a call center preferred
  • Ability to learn and apply Oregon Administrative Rules (OARs), Federal laws and other regulatory agencies related to medical health insurance and Medicaid or Medicare
  • Strong computer skills including Microsoft Outlook, Word and Excel
  • Ability to navigate between multiple documents and internet browsers
  • Ability to type minimum 35 words per minute preferred
  • Strong active-listening skills
  • Ability to interact professionally, patiently and courteously with members in writing and on calls
  • Strong written and spoken communication skills
  • Ability to provide clear and concise information and directions as well as follow instructions
  • Ability to proactively learn department processes
  • Ability to commit to continual improvement in quality and productivity
  • Ability to work effectively with diverse individuals and groups

Benefits

  • Medical, dental, vision, life, AD&D, and disability insurance
  • Health savings account
  • Flexible spending account(s)
  • Lifestyle spending account
  • Employee assistance program
  • Wellness program
  • Discounts
  • Multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings)
  • Strong retirement plan with employer contributions
  • PTO and Paid State Sick Time based on hours worked/scheduled hours
  • Paid holidays, volunteer time, jury duty, bereavement leave

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