CareOregon
Making health care work for everyone.
Customer Service Representative
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