CareOregon

Making health care work for everyone.

Customer Service HRS Specialist

Full TimeRemoteTeam 501-1,000Since 1994Company SiteLinkedIn

Location

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

Posted

1 day ago

Salary

$28 - $34 / hour

3 yrs expEnglish

Job Description

• Respond to inquiries originating from a wide range of customer groups including members, providers and other departments and organizations • Communicate with customer groups via telephone, email and text as appropriate • Research, verify and resolve a broad array of inquiries, both simple and complex, related to Health-Related Services • Assist members with applying for Health-Related Services and obtaining information about the status of their requests • Provide clear communications, timely responses and high-level customer service • Use online tracking systems to document all activities and communications related to each Health-Related Services inquiry • Receive and apply updates on current, evolving policy and process changes related to Health-Related Services • Perform ongoing analyses of data and information to identify opportunities for improvement in operational efficiencies • Collaborate with teams inside and outside of the department to share information, obtain information and resolve customer inquiries • Partner closely with the Authorization team to gather and compile complete and accurate information for requests and coordinate any necessary outreach • Complete (off phone) administrative tasks and project work in an efficient and timely manner • Adhere to all Health Insurance Portability and Accountability Act (HIPAA) requirements and organizational standards

Job Requirements

  • Minimum 3 years’ customer service experience including 2 years supporting healthcare members, providers or health-related insurance providers, vendors or related entities
  • Minimum 1 year experience in Call Center
  • Customer service experience with a health insurance carrier/health plan, the Oregon Health Plan and/or roles providing crisis management

Benefits

  • Health insurance
  • Dental insurance
  • Vision insurance
  • Life insurance
  • AD&D insurance
  • 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)
  • Retirement plan with employer contributions
  • PTO and Paid State Sick Time

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