Experienced Customer Service Representative I (Call Center) – Health Plan Operations
At careerzynith, we're passionate about delivering exceptional customer experiences that exceed expectations. As a Customer Service Representative I (Call Center) in our Health Plan Operations team, you'll play a vital role in ensuring the highest level of customer satisfaction and accuracy for plan benefits and accompanying workflow. If you're a customer-focused individual with a passion for problem-solving and a knack for effective communication, we want to hear from you!
**About careerzynith**
careerzynith is a leading healthcare organization dedicated to building healthier communities together. With a strong commitment to quality care and customer satisfaction, we strive to make a positive impact on the lives of our members and the communities we serve. Our Health Plan Operations team is at the forefront of this mission, working tirelessly to ensure seamless interactions between members, providers, and our organization.
**Job Summary/Purpose**
As a Customer Service Representative I (Call Center), you'll be responsible for:
* Ensuring a high level of customer service and accuracy for plan benefits and accompanying workflow
* Evaluating communications from members and providers, processing requests accordingly, and acting as the primary contact for plan benefit questions
* Providing oral and written communications to members and providers in response to questions and requests
* Collaborating with internal stakeholders to resolve complex issues and improve customer satisfaction
**Department Description**
Samaritan Health Plans (SHP) operates a portfolio of health plan products under several different legal structures, including InterCommunity Health Plans, Inc. (IHN) as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries, and Samaritan Health Plans, Inc. offering Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans. 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/Qualifications**
* High School Diploma or equivalent required
* Two (2) years of 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/Abilities**
* Effective 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 Demands**
* Rarely (1 - 10% of the time):
+ CLIMB - STAIRS
+ LIFT (Floor to Waist: 0"-36") 0 - 20 Lbs
+ LIFT (Knee to chest: 24"-54") 0 – 20 Lbs
+ LIFT (Waist to Eye: up to 54") 0 - 20 Lbs
* Occasionally (11 - 33% of the time):
+ CARRY 1-handed, 0 - 20 pounds
+ BEND FORWARD at waist
+ KNEEL (on knees)
+ STAND
+ WALK – LEVEL SURFACE
+ ROTATE TRUNK Standing
+ REACH - Upward
+ PUSH (0 - 20 pounds force)
+ PULL (0 - 20 pounds force)
* Frequently (34 - 66% of the time):
+ SIT
+ CARRY 2-handed, 0 - 20 pounds
+ ROTATE TRUNK Sitting
+ REACH - Forward
* Continually (67 – 100% of the time):
+ MANUAL DEXTERITY Hands/wrists
+ FINGER DEXTERITY
+ PINCH Fingers
+ GRASP Hand/Fist
**Career Growth Opportunities and Learning Benefits**
At careerzynith, we're committed to helping our employees grow and develop their skills. As a Customer Service Representative I (Call Center), you'll have access to:
* Ongoing training and development opportunities to enhance your customer service skills and knowledge of health plan operations
* Collaborative and supportive team environment that encourages open communication and feedback
* Opportunities for career advancement and professional growth within our organization
**Work Environment and Company Culture**
careerzynith is proud to offer a dynamic and inclusive work environment that values diversity, equity, and inclusion. Our Corvallis, OR location offers a unique blend of natural beauty and small-town charm, with easy access to outdoor recreation and cultural attractions.
**Compensation, Perks, and Benefits**
careerzynith offers a competitive compensation package, including:
* Competitive salary
* Comprehensive benefits package, including medical, dental, and vision coverage
* 401(k) retirement plan with company match
* Paid time off and holidays
* Opportunities for professional development and career growth
**How to Apply**
If you're a motivated and customer-focused individual with a passion for problem-solving and effective communication, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, through our online application portal.
**Equal Employment Opportunity**
careerzynith is an equal employment opportunity employer and welcomes applications from diverse candidates. We are committed to creating an inclusive and respectful work environment that values diversity, equity, and inclusion.
**Contact Us**
If you have any questions or would like to learn more about this opportunity, please don't hesitate to contact us at [insert contact information]. We look forward to hearing from you!
Apply for this job
**About careerzynith**
careerzynith is a leading healthcare organization dedicated to building healthier communities together. With a strong commitment to quality care and customer satisfaction, we strive to make a positive impact on the lives of our members and the communities we serve. Our Health Plan Operations team is at the forefront of this mission, working tirelessly to ensure seamless interactions between members, providers, and our organization.
**Job Summary/Purpose**
As a Customer Service Representative I (Call Center), you'll be responsible for:
* Ensuring a high level of customer service and accuracy for plan benefits and accompanying workflow
* Evaluating communications from members and providers, processing requests accordingly, and acting as the primary contact for plan benefit questions
* Providing oral and written communications to members and providers in response to questions and requests
* Collaborating with internal stakeholders to resolve complex issues and improve customer satisfaction
**Department Description**
Samaritan Health Plans (SHP) operates a portfolio of health plan products under several different legal structures, including InterCommunity Health Plans, Inc. (IHN) as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries, and Samaritan Health Plans, Inc. offering Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans. 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/Qualifications**
* High School Diploma or equivalent required
* Two (2) years of 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/Abilities**
* Effective 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 Demands**
* Rarely (1 - 10% of the time):
+ CLIMB - STAIRS
+ LIFT (Floor to Waist: 0"-36") 0 - 20 Lbs
+ LIFT (Knee to chest: 24"-54") 0 – 20 Lbs
+ LIFT (Waist to Eye: up to 54") 0 - 20 Lbs
* Occasionally (11 - 33% of the time):
+ CARRY 1-handed, 0 - 20 pounds
+ BEND FORWARD at waist
+ KNEEL (on knees)
+ STAND
+ WALK – LEVEL SURFACE
+ ROTATE TRUNK Standing
+ REACH - Upward
+ PUSH (0 - 20 pounds force)
+ PULL (0 - 20 pounds force)
* Frequently (34 - 66% of the time):
+ SIT
+ CARRY 2-handed, 0 - 20 pounds
+ ROTATE TRUNK Sitting
+ REACH - Forward
* Continually (67 – 100% of the time):
+ MANUAL DEXTERITY Hands/wrists
+ FINGER DEXTERITY
+ PINCH Fingers
+ GRASP Hand/Fist
**Career Growth Opportunities and Learning Benefits**
At careerzynith, we're committed to helping our employees grow and develop their skills. As a Customer Service Representative I (Call Center), you'll have access to:
* Ongoing training and development opportunities to enhance your customer service skills and knowledge of health plan operations
* Collaborative and supportive team environment that encourages open communication and feedback
* Opportunities for career advancement and professional growth within our organization
**Work Environment and Company Culture**
careerzynith is proud to offer a dynamic and inclusive work environment that values diversity, equity, and inclusion. Our Corvallis, OR location offers a unique blend of natural beauty and small-town charm, with easy access to outdoor recreation and cultural attractions.
**Compensation, Perks, and Benefits**
careerzynith offers a competitive compensation package, including:
* Competitive salary
* Comprehensive benefits package, including medical, dental, and vision coverage
* 401(k) retirement plan with company match
* Paid time off and holidays
* Opportunities for professional development and career growth
**How to Apply**
If you're a motivated and customer-focused individual with a passion for problem-solving and effective communication, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, through our online application portal.
**Equal Employment Opportunity**
careerzynith is an equal employment opportunity employer and welcomes applications from diverse candidates. We are committed to creating an inclusive and respectful work environment that values diversity, equity, and inclusion.
**Contact Us**
If you have any questions or would like to learn more about this opportunity, please don't hesitate to contact us at [insert contact information]. We look forward to hearing from you!
Apply for this job