Report

Customer Care Representative

Salary

$41k - $45k

Min Experience

0 years

Location

Grants Pass, Oregon, United States

JobType

full-time

About the job

Info This job is sourced from a job board

Overview

About the role

Customer Care Representative at AllCare Health with the Customer Engagement department in Grants Pass, Oregon

We Are Seeking Qualified Candidates to Join Our Team!

AllCare Health offers competitive wages, an excellent benefits package including affordable healthcare, 401k retirement, wellness programs, and telecommute, remote work, and flexible schedule options.

Summary
This position is responsible for providing support to health plan members and providers, serving as a resource for staff and community medical personnel by performing the following duties.

Essential Duties

Ensure customer satisfaction and provide professional customer support.
Speaks with members or member’s representatives and providers by phone or in person. Topics may include: Oregon Health Plan /CCO benefits and information, Medicare Advantage Plan benefits and information, Contract interpretation, Procedures, Billing, Subscriber problems, and/or Denied services.
Responds to requests for managed care information for all product lines and subsidiaries.
Maintains knowledge of all contracts, programs, and benefits offered through the Coordinated Care Organization/ CCO and the Medicare Advantage Plan.
Resources and responds to information requested from claims analyst on pending claims.

Education

High school diploma or general education degree (GED) required.

Experience

At least one to three months related experience and/or training in customer service or a related field required.
At least three to six months related experience and/or training in customer service, health insurance, or a medical setting preferred.

Technical Skills

Familiarity with the Healthcare industry.
Excellent customer service skills to respond appropriately and interact positively with upset customers.
Knowledge of phone customer service best practices and experience with multi-line call centers.
Excellent computer skills, including the Microsoft Office Suite (Outlook, Word, PowerPoint, and Excel).
Knowledge of and compliance with HIPAA regulations.
Excellent organization and time-management skills.

Interpersonal Skills

Demonstrate accountability, inspiring trust and confidence from others.
Effectively and professionally communicate with team members and customers.
Interact positively with customers to satisfy needs and resolve problems in a pleasant and professional manner.
Maintain an attentive and empathetic demeanor.
Adapt to change, learn quickly, and work with ambiguity.
Provide respectful and understanding service to customers within a multicultural environment.
Cope and self-manage during stressful situations.
Maintain a high degree of professionalism and confidentiality.
Prioritize and organize work according to competing timelines.
Allocate time effectively to complete tasks within deadlines.

Bilingual Skills

Bilingual in English/Spanish is preferred for this position.

Being bilingual in another language, including American Sign Language (ASL), is an invaluable skill that enhances our ability to deliver culturally responsive care. We strongly encourage you to apply if you are bilingual.

All relevant experience can be listed in your resume to perform essential duties of the position including the following: lived, volunteer, professional, or a combination of experience and education.

Physical Demands & Work Environment

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential duties of this job. The work environment characteristics described here are representative of those an employee encounters while performing the essential duties of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties. The employee must occasionally lift and/or move up to 10 pounds. While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear. The employee is occasionally required to stand; walk; reach with hands and arms and stoop, kneel, crouch, or crawl. The noise level in the work environment is usually moderate.

The employee must be able to work onsite for all scheduled shifts

Company Overview

AllCare Health Website: https://www.allcarehealth.com.

AllCare Health is incorporated as an Oregon Benefit Corporation and has earned the coveted Certified B Corp® status since 2017. As such, AllCare Health considers its impact on community, society, and the environment in all business decisions. We have long recognized the value in social, economic, and environmental concerns of our employees, customers, and community members. (Learn more about B Corps at https://bcorporation.net/about-b-corps)

AllCare Health headquarters are located in Grants Pass in Southern Oregon on the Rogue River, surrounded by mountains, forests, small farms, and breathtaking views. This thriving and energetic community is ideal for families and outdoor enthusiasts, with a temperate Pacific Northwest climate. We enjoy easy access to outdoor sports and recreation, river rafting, fishing, hiking, biking, wineries, outdoor concerts, the world-famous Ashland Shakespeare Festival, the stunning Oregon coast, magnificent redwood forests, pristine beaches, and much more.

The AllCare Health family of businesses is guided by our corporate principles:

Purpose | Working together with our communities to improve the health and well-being of everyone.

Values | Trust, Innovation, Relationships, and Voice.

Vision | Thriving, Inclusive, and Equitable communities.

Brand Promise | Changing Healthcare to Work for You.

AllCare Health is dedicated to building a diverse and authentic workplace centered in belonging and serving our growing community. If you are excited about this open position but your experience does not align perfectly with every qualification in this post, we encourage you to apply anyway or reach out to our human resources department. You may just be the right candidate for this role or others.

If you need accommodations, help in the application process, or wish to receive this job announcement in an alternative format, please call 541-471-4106 and ask for Human Resources.

All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sexual orientation, gender identity, sex, age, protected veteran or disabled status, or genetic information.

Monday-Friday; 8am-5pm w/ a 1 hour unpaid lunch and two 15 minute paid breaks
40 hours per week

About the company

AllCare Health is an integrated health organization based in Southern Oregon with more than 250 employees. For 4 consecutive years, employees have voted AllCare Health a Top Workplace in the state of Oregon through The Oregonian’s annual survey. In a progressive model of care, AllCare Health combines medical, oral, and behavioral health services, along with Medicare Advantage, Medicare Supplement, and Oregon Health Plan (OHP) insurance coverage, and health information technology services in one organization. AllCare Health is led by Southern Oregon physicians, many of whom have been working together to serve Oregonians since 1994. For the more than 50,000 current members enrolled in various AllCare Health plans throughout the state, this means simpler, more efficient care delivered by a network of dedicated healthcare providers. As a Certified B Corporation, AllCare Health is dedicated to giving back to the community. We actively pursue and invest in the social determinants of health, including programs that support transitional and low-income housing, childhood nutrition, early childhood education, and improving access to healthcare. As a good neighbor, we understand that building a healthy community is about more than just doctor visits.

Skills

Microsoft Office Suite

HIPAA compliance