Customer Service Representative I (Call Center)
Job title: Customer Service Representative I (Call Center) in Corvallis, OR at Samaritan Health Services
Company: Samaritan Health Services
Job description: This is a hybrid position that will consist of both remote and onsite work in Corvallis, OR.JOB SUMMARY/PURPOSEResponsible for ensuring a high level of customer service and accuracy for plan benefits and accompanying workflow. Evaluates communications from members and providers of Health Plan Operations and processes requests accordingly. Acts as primary contact for plan benefit questions for all lines of business for both internal and external customers. Responsible for oral and written communications to members and providers in response to questions and requests.DEPARTMENT DESCRIPTIONSamaritan Health Plans (SHP) operates a portfolio of health plan products under several different legal structures: InterCommunity Health Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans; SHP is also the third-party administrator for Samaritan Health Services’ self-funded employee health benefit plan. As part of an Integrated Delivery System, Samaritan Health Plans is strategically and operationally aligned with Samaritan Health Services’ mission of Building Healthier Communities Together.EXPERIENCE/EDUCATION/QUALIFICATIONSHigh School Diploma or equivalent required.Two (2) years professional customer service experience required.Experience in a health plan setting preferred.Experience with State and Federal rules and regulations (including Medicare and Medicaid) preferred.KNOWLEDGE/SKILLS/ABILITIESEffective written and verbal communication skills to perform group presentations, tactfully discuss issues, and listen to and understand concepts, rules and procedures. Ability to work with all levels within the organization, facilitate communication, and effectively document related activities.Ability to identify complex problems, review related information, employ creativity and alternative thinking to develop and evaluate options and implement solutions.PHYSICAL DEMANDSRarely
(1 - 10% of the time)Occasionally
(11 - 33% of the time)Frequently
(34 - 66% of the time)Continually
(67 – 100% of the time)CLIMB - STAIRSLIFT (Floor to Waist: 0"-36") 0 - 20 LbsLIFT (Knee to chest: 24"-54") 0 – 20 LbsLIFT (Waist to Eye: up to 54") 0 - 20 LbsCARRY 1-handed, 0 - 20 poundsBEND FORWARD at waistKNEEL (on knees)STANDWALK – LEVEL SURFACEROTATE TRUNK StandingREACH - UpwardPUSH (0 - 20 pounds force)PULL (0 - 20 pounds force)SITCARRY 2-handed, 0 - 20 poundsROTATE TRUNK SittingREACH - ForwardMANUAL DEXTERITY Hands/wristsFINGER DEXTERITYPINCH FingersGRASP Hand/Fist
Expected salary:
Location: Corvallis, OR
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Company: Samaritan Health Services
Job description: This is a hybrid position that will consist of both remote and onsite work in Corvallis, OR.JOB SUMMARY/PURPOSEResponsible for ensuring a high level of customer service and accuracy for plan benefits and accompanying workflow. Evaluates communications from members and providers of Health Plan Operations and processes requests accordingly. Acts as primary contact for plan benefit questions for all lines of business for both internal and external customers. Responsible for oral and written communications to members and providers in response to questions and requests.DEPARTMENT DESCRIPTIONSamaritan Health Plans (SHP) operates a portfolio of health plan products under several different legal structures: InterCommunity Health Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans; SHP is also the third-party administrator for Samaritan Health Services’ self-funded employee health benefit plan. As part of an Integrated Delivery System, Samaritan Health Plans is strategically and operationally aligned with Samaritan Health Services’ mission of Building Healthier Communities Together.EXPERIENCE/EDUCATION/QUALIFICATIONSHigh School Diploma or equivalent required.Two (2) years professional customer service experience required.Experience in a health plan setting preferred.Experience with State and Federal rules and regulations (including Medicare and Medicaid) preferred.KNOWLEDGE/SKILLS/ABILITIESEffective written and verbal communication skills to perform group presentations, tactfully discuss issues, and listen to and understand concepts, rules and procedures. Ability to work with all levels within the organization, facilitate communication, and effectively document related activities.Ability to identify complex problems, review related information, employ creativity and alternative thinking to develop and evaluate options and implement solutions.PHYSICAL DEMANDSRarely
(1 - 10% of the time)Occasionally
(11 - 33% of the time)Frequently
(34 - 66% of the time)Continually
(67 – 100% of the time)CLIMB - STAIRSLIFT (Floor to Waist: 0"-36") 0 - 20 LbsLIFT (Knee to chest: 24"-54") 0 – 20 LbsLIFT (Waist to Eye: up to 54") 0 - 20 LbsCARRY 1-handed, 0 - 20 poundsBEND FORWARD at waistKNEEL (on knees)STANDWALK – LEVEL SURFACEROTATE TRUNK StandingREACH - UpwardPUSH (0 - 20 pounds force)PULL (0 - 20 pounds force)SITCARRY 2-handed, 0 - 20 poundsROTATE TRUNK SittingREACH - ForwardMANUAL DEXTERITY Hands/wristsFINGER DEXTERITYPINCH FingersGRASP Hand/Fist
Expected salary:
Location: Corvallis, OR
Apply for the job now!
Apply Now