[Remote] Work from Home (Florida only) Customer Support Representative

Note: The job is a remote job and is open to candidates in USA. PacificSource Health Plans is expanding its remote workforce and is seeking Customer Support Representatives to work from home in Florida. The role involves providing excellent customer service, assisting customers with coverage and claims questions, and ensuring prompt resolution of issues.ResponsibilitiesProvide excellent customer service primarily by telephone to all PacificSource customersAssist customers with coverage/claims related questionsAccurately interpret benefits and policy provisions for all PacificSource productsConduct appropriate research and follow-up for prompt resolution of disputed claimsWork efficiently in a high volume call center while maintaining a professional, positive, and caring demeanorAssist callers with coverage related questions/concerns; accurately interpret policy provisions for assigned productsAnalyze customer’s inquiries and determine correct steps for resolution, interpret benefit information, and claims processing accuracyKeep resource information up to date and well organizedWork efficiently in multiple systems simultaneously while effectively utilizing critical thinking and problem solving skillsDocument calls in a clear and consistent manner in computer systemConduct appropriate research, take ownership and follow through for prompt resolution of disputed claimsRelay information to appropriate departments and personnel using established communication channels and proceduresMake outbound calls to members as necessary dependent upon current outreach campaignMeet department and company performance and attendance expectationsBe aligned with PacificSource company valuesFollow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health informationPerform other duties as assignedSkillsOne-year medical insurance, other healthcare related field, call center or customer service experienceHigh School Diploma or equivalentProficient computer skillsTyping and 10-keyStrong written and verbal communication skillsAccountabilityCollaborationCommunication (written/verbal)FlexibilityListening (active)Organizational skills/Planning and OrganizationProblem SolvingTeamworkCPT/ICD-10 codingBasic understanding of insurance and medical terminologyCoding and standard medical billing practicesBenefitsWe offer competitive pay, outstanding benefits, and a chance to work in an impactful and meaningful role.Company OverviewFounded in 1933, PacificSource is a not-for-profit health insurer for people and organizations throughout the Northwest. It was founded in 1933, and is headquartered in Springfield, Oregon, USA, with a workforce of 1001-5000 employees. Its website is http://www.pacificsource.com.