Organization: Providence Category: Professional Location: Beaverton, OR Date Job Posted: May 3, 2022 Share with Others:
Schedule: Monday - Friday 8am to 5pm (PST) *This role is remote but may require in-office training 1 day per week and webcam visibility for team meetings and/or training as needed.
In this position you will have the following responsibilities:
Research and respond to member, provider, employer group and other internal and external questions, concerns, needs. Provide education to both members and providers as appropriate.
Advocate for the customer. Explain benefits in a detailed and courteous manner so they are understood. Educate members to promote utilization of products and services to their full advantage and to optimize the value of their healthcare dollar.
Critical thinking skills in order to problem solve when a root cause of an issue is not apparent.
Ability to work in a Multi-Channel Contact Center environment both by phone, in person and over email.
Facilitate resolution of member or provider's issues in a timely, efficient and professional manner.
Document all calls in accordance with company standards and resolve inquiries at point of service when appropriate. First call resolution is the desired outcome.
Demonstrated data entry skills and PC processing skills in a Window based environment.
Strong verbal, written and interpersonal skills.
Skillful at providing and receiving feedback to improve personal performance and team effectiveness.
Multi-tasking skills with the ability to talk and type.
Required qualifications for this position include:
2 years experience in a high pressure customer facing service environment with a proven track record of learning and applying complex concepts.
Preferred qualifications for this position include:
Basic medical terminology, CPT, ICD9-10 coding knowledge
Behavioral Health knowledge
Education, Experience, Certifications
2 years experience in a high pressure customer facing service environment with a proven track record of learning and applying complex concepts.