CareOregon
Making health care work for everyone.
Customer Service HRS Specialist
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