Jobs
>
Seattle

    Customer Service Rep II - Seattle, United States - Community Health Plan of Washington

    Community Health Plan of Washington
    Community Health Plan of Washington Seattle, United States

    2 days ago

    Default job background
    Description

    ** Customer Service Rep II**

    **Job Category****:** Customer Experience **Requisition Number****:** CUSTO01561 Showing 1 location **Job Details**

    **Description**

    **PRINCIPLE DUTIES:**

    Responds accurately and courteously to member and provider inquiries regarding benefit interpretation, eligibility, claims status, accessing care through plan providers, and other related issues under Washington Apple Health, Medicare Advantage Plans and other products as offered by the Community Health Plan of Washington.

    Provides information and facilitate and/or coordinate appropriate resolution of issues and complaints.

    Document inquiries, complaints and other data in computer database in an accurate, clear, and timely manner.

    Provide back-up as needed to other positions and functional areas.

    Meets CS attendance and quality standards. Makes a consistent effort to learn and improve CS skills as measured by the quality of the phone work.

    Provides first call resolution.

    Actively participate in developing and maintaining a cohesive customer service team that is focused on providing excellent customer service.

    Non-Exempt - Reporting to work on time and for all scheduled shifts is essential to this position.

    Other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer, at its sole discretion.

    **Qualifications**

    **Education**

    High school diploma or equivalent required.

    Some college or vocational training preferred.

    **Experience**

    Minimum of 2 years of customer service experience required, preferably in insurance, managed care, or a provider setting.

    Experience in a call center environment strongly preferred.

    Claim processing knowledge preferred.

    Experience with state and federal programs (Medicaid, Medicare Advantage Plans) a plus.

    Employment Eligibility

    Complete and successfully pass a criminal background check

    Has not been sanctioned or excluded from participation in federal or state healthcare programs by a federal or state law enforcement, regulatory, or licensing agency

    Knowledge, Skills, and Abilities

    Knowledge of state and federal programs (Washington Apple Health, Medicare Advantage Plans) preferred.

    Language skills, particularly in Spanish and Vietnamese, a plus.

    Knowledge of medical terminology and healthcare is preferred.

    Knowledge of claim process is preferred.

    Demonstrated written communication skills particularly the ability to summarize notes in a clear, concise manner.

    Flexibility and willingness to work in a matrix-management environment

    Ability to multi-task and deal with complex assignments on a frequent basis

    Perform all functions of the job with accuracy, attention to detail and within established timeframes.

    Meet attendance and punctuality standards

    Demonstrate professional courtesy to others and ability to maintain confidentiality

    Ability to work independently

    Willingness to be part of a fast moving, and dynamic clinical development team

    ****

    **SENSORY/PHYSICAL/MENTAL REQUIREMENTS**

    **Sensory***:

    Speaking, hearing, near vision, far vision, depth perception, peripheral vision, touch, smell, and balance.

    **Physical***:

    Extended periods of sitting, computer use, talking and possibly standing

    Simple grasp, firm grasp, fine manipulation, pinch, finger dexterity, supination/pronation, wrist flexion

    Frequent torso/back static position; occasional stooping, bending and twisting

    Some kneeling, pushing, pulling, lifting and carrying (not over 25 pounds), twisting and reaching

    **Mental**:

    Frequent decision-making. Ability to gather and assess data, determine appropriate actions, apply protocols and knowledge to unique situations, problem-solve and provide consultation.

    **WORK ENVIRONMENT**

    Office environment with frequent environmental exposure to low-grade radiation from computer monitors; fast paced with frequent interruptions.

    **PROTECTED HEALTH INFORMATION (PHI) ACCESS**

    All information (written, verbal, electronic, etc.) that an employee encounters while working at CHPW is considered confidential. CHPW employees may encounter protected health information in the regular course of their work at and for CHPW. This position may be exposed to and required to deal with highly confidential and sensitive material and must adhere to CHPW policies, guidelines, and all applicable laws and regulations at all times.

    **Candidates whose disabilities make them unable to meet these requirements are considered fully qualified if they can perform the essential functions of the job with reasonable accommodation.*

    ***Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to any actual or perceived protected characteristic or other unlawful consideration.***

    **Qualifications**

    **Skills**

    **Behaviors**

    **:**

    **Motivations**

    **:**

    **Education**

    **Experience**

    **Licenses & Certifications**

    Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

    The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractors legal duty to furnish information. 41 CFR c)

  • Clean Harbors

    Sales and Service Rep

    2 weeks ago

    Clean Harbors Riverton, United States

    Sales and Service Rep (Hourly) · Safety-Kleen in Seattle, WA is looking for a Class B Route Driver (known internally as a Sales and Service Representative) to join their safety conscious team In this position, you will be responsible for operating a Class B box truck to provide o ...

  • LHH Recruitment Solutions

    Patient Service Rep

    4 weeks ago

    LHH Recruitment Solutions Seattle, United States

    Job Description · Job DescriptionPatient Service Rep · LHH Recruitment Solutions is hiring a Patient Service Rep for our healthcare client in Seattle, WA. This role will be a contract opportunity and 100% onsite in the South Seattle area. This role will be focused on supporting p ...

  • LHH Recruitment Solutions

    Patient Service Rep

    4 weeks ago

    LHH Recruitment Solutions Seattle, United States

    Patient Service Rep · LHH Recruitment Solutions is hiring a Patient Service Rep for our healthcare client in Seattle, WA. This role will be a contract opportunity and 100% onsite in the South Seattle area. This role will be focused on supporting patients in scheduling appointment ...

  • Proliance Surgeons

    Patient Services Rep

    3 weeks ago

    Proliance Surgeons Seattle, United States

    Proliance Surgeons is one of the largest surgical practices in the country, with over 450 providers including over 200 board-certified physicians providing treatment at more than 100 care centers in Washington State · At Proliance, our patients come from all walks of life and so ...

  • Safety-Kleen

    Sales and Service Rep

    3 weeks ago

    Safety-Kleen Seattle, United States

    The Opportunity · Our Safety-Kleen Seattle, WA location is seeking a Class B Box Truck Service Driver. This Driver will operate a Class B Box trucks while servicing customer locations such as garages, automotive dealerships, and quick change oil companies. Will also obtain new c ...

  • TEKsystems

    Customer Service Rep.

    2 weeks ago

    TEKsystems Seattle, United States

    Job Description · Job DescriptionA WELL ESTABLISHED MEDICAL EQUIPMENT AND SUPPLY COMPANY IS LOOKING FOR A CUSTOMER SERVICE REP TO SUPPORT BOTH THEIR RENTON & SEATTLE LOCATIONS. THIS ISN'T A FRONT DESK FACING ROLE, MORE OF AN BACK OFFICE ON THE PHONE CUSTOMER ORIENTED POSITION. · ...

  • Domino's Franchise

    Customer Service Rep(04471)

    1 day ago

    Domino's Franchise King, United States Full time

    Job Description · Imagine yourself with a job with flexible hours, competitive pay, a fun environment, did we mention flexible hours? · We're already imagining you in that job, right now. We're imagining that because right now we're looking for Customer Service Representatives - ...

  • Gemmarie Mitsui Insurance Agency

    Administration / Customer Service Rep

    3 weeks ago

    Gemmarie Mitsui Insurance Agency Seattle, United States

    Job Description · Job DescriptionJoin Gemmarie Mitsui Insurance Agency, a reputable insurance provider deeply committed to serving the Seattle, Washington community. At Gemmarie Mitsui, we believe in building strong relationships with our clients, providing them with the security ...

  • Proliance Surgeons, Inc.

    Refund Customer Service Rep

    3 weeks ago

    Proliance Surgeons, Inc. Seattle, United States

    Job Description · Job DescriptionKey Duties and Responsibilities · The key duties and responsibilities of the Revenue Cycle Credit Resolution Assistant include, but are not limited to: · Provide outstanding customer service to patients, insurance companies, and internal stakehold ...

  • Domino's Pizza LLC

    Customer Service Rep(09427)

    2 weeks ago

    Domino's Pizza LLC Seattle, United States

    Job Details. Customer Service Representative. We are looking for team-oriented individuals with personality, people skills and hustle Our CSRs greet customers, answer phones, take orders and prepare pizza while providing excellent customer service. Customer Service, Suite, Servic ...

  • Community Health Plan of Washington

    Customer Service Rep II

    3 days ago

    Community Health Plan of Washington Seattle, United States

    Job Description · Job Description*This position is fully remote in Washington State. · Who we are · Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employm ...

  • Johnson Controls International

    Life Safety Service Rep, Electronic

    2 weeks ago

    Johnson Controls International Seattle, United States

    Our continued growth has produced a need for a talented Life Safety Service Sales Representative to join our team. In this challenging and rewarding role the responsibilities will include professionally representing the Company with respect to the pr Electronic, Service, Safety, ...

  • Johnson Controls International

    Life Safety Service Rep, Electronic

    13 hours ago

    Johnson Controls International Seattle, United States

    · What you will do · Our continued growth has produced a need for a talented Life Safety Service Sales Representative to join our team. In this challenging and rewarding role the responsibilities will include professionally representing the Company with respect to the promotion ...

  • Esri

    Patient Services Rep(Front Desk)

    23 hours ago

    Esri Seattle, United States

    Proliance Surgeons is one of the largest surgical practices in the country, with over 450 providers including over 200 board-certified physicians providing treatment at more than 100 care centers in Washington State . · At Proliance, our patients come from all walks of life and s ...

  • Johnson Controls International

    Life Safety Service Rep, Electronic

    3 weeks ago

    Johnson Controls International Seattle, WA, United States Full time

    What you will do · Our continued growth has produced a need for a talented Life Safety Service Sales Representative to join our team. In this challenging and rewarding role the responsibilities will include professionally representing the Company with respect to the promotion an ...

  • Johnson Controls International Careers

    Life Safety Service Rep, Electronic

    3 weeks ago

    Johnson Controls International Careers Seattle, WA, United States Full time

    Life Safety Service Sales Executive · Our continued growth has produced a need for a talented Life Safety Service Sales Representative to join our team. In this challenging and rewarding role the responsibilities will include professionally representing the Company with respect ...

  • Proliance Surgeons

    Patient Services Rep

    2 days ago

    Proliance Surgeons Bellevue, United States

    Proliance Surgeons is one of the largest surgical practices in the country, with over 450 providers including over 200 board-certified physicians providing treatment at more than 100 care centers in Washington State · At Proliance, our patients come from all walks of life and so ...

  • Midwest Motor Express

    FT Customer Service Rep with Excellent Benefits

    1 day ago

    Midwest Motor Express Seattle, United States

    23-Feb-2022 to 31-Mar-2022 (CST) · Seattle, WA, USA · Hourly · Full Time · *Health, Dental, Vision, 401K w/ employer match, HSA, company paid life insurance, vacation, paid holidays and much more* · **Monday - Friday** · **Starting Wage** **-** **$18** · If so, Midwest Mot ...

  • Valley Medical Center

    Patient Service Rep

    5 days ago

    Valley Medical Center Renton, United States Full time

    Job Description: · VALLEY MEDICAL CENTER · Job Description · Clinic Network · The position description is a guide to the critical duties and essential functions of the job, not an all-inclusive list of responsibilities, qualifications, physical demands and work environment condi ...

  • Evergreen Healthcare , LLC Defunct

    Patient Services Rep

    3 days ago

    Evergreen Healthcare , LLC Defunct Kirkland, United States

    · Wage Range: $ $32.92 per hour + $2.00 per hour float pool premium · Sign-On Bonus: Up to $3,000.00 for those new to EvergreenHealth · Posted wage ranges represent the entire range from minimum to maximum. For jobs with more than one level, the posted range reflects the minimum ...