Customer Service Representative

Customer Service Representative I page is loaded## Customer Service Representative Iremote type:
Remote locations:
Remote Oregon:
Remote Utah:
Remote Texas:
Remote Idaho:
Remote Wisconsin time type:
Full time posted on:
Posted Yesterday job requisition :
JR100742

Customer Service Representative I---------------------------------------------------------------The Customer Service Representative I is the initial point of contact for members of Care Oregon and provides excellent customer service delivery relating to the Oregon Health Plan (OHP), Medicaid or Medicare, Group and Individual Medical, Dental, and Mental Health. This entry level position typically focuses on responding to member inquiries but may also assist with outbound calls.
** Estimated Hiring Range:**$18.45 - $22.55
** Bonus Target:
** Bonus - SIP Target, 5% Annual Current Care Oregon Employees:
Please use the internal Workday site to submit an application for this job.

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** Essential Responsibilities
*** Research, verify and resolve inquiries related to Oregon Health Plan (OHP) or Medicare eligibility with guidance from Supervisor and Customer Service Operations Specialists.
* Respond and assist members with Primary Care Provider (PCP) assignments.
* Learn to collaborate with others within Customer Experience and other Care Oregon departments to service the member customers and explain OHP or Medicare benefit coverage; provide additional information about community resources when appropriate.
* Collaborate with providers, Division of Medical Assistance Programs (DMAP, and members to ensure effective customer service and the resolution of any health plan issues that arise (e.g., issues with eligibility and systems, etc.).
* Use Call Tracking system to document all communications and activities in relation to members, providers and other customers.
* Maintain confidentiality for all members.
* Coordinate mailing of member materials as needed.
* Treat all members with honesty, courtesy, dignity and respect.
* Provide members with professional, timely and competent service.
* Identify and report any system or process issues; contribute suggestions for improvement.
* Consistently meet or exceed Care Oregon Customer Experience standards and expectations related to quality, production and attendance.
* May assist with outbound calls to Medicaid and Medicare members such as welcome and retention calls.###
** Experience and/or Education
** Required* Minimum 1 year experience working in customer service or health care Preferred
* Work experience in a call center## Knowledge,

Skills and Abilities

Required

Skills and Abilities

* Ability to learn and apply Oregon Administrative Rules (OARs), Federal laws and other regulatory agencies that relate to the medical health insurance industry and the Medicaid or Medicare industry
* Strong computer skills including Microsoft Outlook, Word and Excel
* Ability  to  navigate between multiple documents and internet browsers
* Ability to type minimum 35 words per minute preferred
* Strong customer service skills
* Ability to  to interact professionally, patiently and courteously with members in writing and on calls
* Strong active-listening skills
* Strong written and spoken communication skills
* Growing ability to articulate complex issues clearly and  understandably
* Ability to provide clear and concise information and directions as well as follow instructions
* Ability to proactively learn department processes
* Ability to commit to continual improvement in quality and productivity
* Ability to participate fully and constructively in department meetings
* Ability to work in a fast-paced environment and manage multiple tasks
* Research, analytical and problem-solving skills
* Ability to adhere to a set schedule and maintain excellent attendance
* Ability to work effectively with diverse individuals and groups
* Ability to learn, focus, understand, and evaluate information and determine appropriate actions
* Ability to accept direction and feedback, as well as tolerate and manage stress
* Ability to see, read, and perform repetitive finger and wrist movement for at least 6 hours/day
*…