Customer Service Rep Associate
Corewell Health · Centralia, WA
Job description
Job Summary Inbound call center to assist and educate members, employer groups, providers, colleagues, and/or agents of health plan benefits with accessing services, facilitating and resolving problems, understanding claims, billing and coding, along with other questions. Consistently create an exceptional experience with each contact, via inbound and outbound calls, face-to-face interactions, online chat, email, etc. Essential Functions • Analyzes, evaluates, resolves and responds to service inquires from members, providers, employer groups, colleagues, agents, Elite agents (customers), and others within departmental guidelines. Professional and pleasant interactions are ongoing expectations. • Partnering with internal and external resources, promptly provides customers with information and education concerning benefit clarification, eligibility requirements, verification, authorization, billing and claim status. • Promptly identifies and resolves or escalates customer concerns or complaints to achieve positive outcomes. Places outbound welcome calls to members to educate them on their benefits as needed. Assists walk-in members and agents if assigned by leadership. • Adheres to established procedure and quality guidelines in support of Priority Health service promise, key drivers, performance indicators, as well as Corporate values and codes of excellence. Identifies potential trends or issues that impact health plan members and works with coworkers and leadership resources to suggest process improvements. • Assists members with administrative issues, such as submitting enrollment record changes, providing letter explaining coverage or benefits, and obtaining and relaying certain member information to other departments as needed. • Facilitates claims resolution through follow-up on member calls and correspondence received to appropriate departments. • Effectively tracks and/or documents all service interactions with customers within appropriate systems according to guidelines. • Develops and maintains behaviors of productivity, availability to customers, and adherence to work schedule. • Actively participates in safety initiatives and risk mitigating measures where appropriate and completes all position and unit safety related competencies and requirements on a timely basis. • Performs other duties as assigned. Qualifications Required • High School Diploma or equivalent • 1 years of relevant experience customer-facing service on phone or face to face; customer service, high volume call center, medical billing, insurance environment relevant to benefits, provider contracting, claims processing, and/or managed health care Preferred • Associate's degree About Corewell Health As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence. How Corewell Health cares for you • Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here. • On-demand pay program powered by Payactiv • Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more! • Optional identity theft protection, home and auto insurance • Traditional and Roth retirement options with service contribution and match savings • Eligibility for benefits is determined by employment type and status Primary Location SITE - 1700 Magnavox Way Suite 201 - Fort Wayne Department Name Physicians Health Plan of Northern Indiana Admin - PH Managed Benefits Employment Type Full time Shift Day (United States of America) Weekly Scheduled Hours 40 Hours of Work 8 a.m. to 5 p.m. Days Worked Monday to Friday Weekend Frequency N/A CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only. Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief. Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category. An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team. You may request assistance in completing the application process by calling 616.486.7447.
More jobs in Centralia, WA
Class A CDL Truck Driver Job Hiring Now! (Up to $110/YR!)
Hiring Drivers Now · Centralia, WA
Class A CDL Truck Driver Job Hiring Now! (Up to $110/YR!) Apply today and within 24 hours you'll receive multiple job offers. Up to $110/YR based on position/location. Simply select the driving job that offers you what is most important. Higher pay, increased benefits or more home-time: You choose. Salary: Up to $110/YR Apply now to receive your job offers!
$85k–$110k/yr
$85 - $110K /Yr! Hiring CDL-A Truck Drivers - Quick Apply!
Hiring Drivers Now · Centralia, WA
Now Hiring CDL-A Truck Drivers! Apply today and within 24 hours you'll receive multiple job offers. Earn $.60 - $.80+ CPM and up per year based on position. Simply select the driving job that offers you what is most important. Higher pay, increased benefits or more home-time: You choose. Avg. Company Driver Job Offers Salary: $85,000-$110,000+ Avg. Owner Operator Job Offers Salary: $200,000-$325,000+ Apply now to receive your job offers!
About US: Tryfacta is a leading, nationally renowned Workforce Management Solution provider for private &public sector firms across the US. We specialize in Healthcare, IT, Business Support, and Professional & Craft/Light Industrial ecosystems. Founded in March 1996, we have a presence in all 50 States. Tryfacta has Ranked number 1 as one of the fastest-growing companies by Inc. Magazine (Inc. 5000)! Tryfacta is certified by the Joint Commission for Healthcare Staffing Services & has numerous ISO Certifications that capture our commitment to continuous improvement. Job Summary: Tryfacta is seeking a Customer Service/ Phone Intake Representative for our client in Madison WI,53705. This is a temporary contract assignment. If you meet the qualifications listed below and are interested, please Apply Now! Position Title: Customer Service/ Phone Intake Representative Location: Madison WI, 53705 Duration: 4 Months Work Schedule: Monday through Friday 35/ hr week Pay rate: $13.07/hr Responsibilities for this position include, but are not limited to: • Answer incoming calls and make outbound calls. • Assist customers with their inquiries. • Communicate courteously with customers by telephone, e-mail, or letter. • Provide a high level of personalized customer service. • Take notes of conversations with customers. • Investigate and solve customer problems. • Update databases with changes to the details and status of each customer. • Use of a variety of computer applications and databases related to call center services and credentialing. • Arrange the distribution of information to managers and coworkers • Maintain respect and discretion. • Follow up inquiries as required via emails or call backs. • Keep accurate records of discussions or correspondence with customers. • Meet with others to discuss possible improvements to customer service. Tryfacta is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Logistics Coordinator Tues-Sat 6:00AM- 4:30PM EST ( Remote local to Miami )
UPS US · Centralia, WA
Explore Your Next Opportunity At UPS Healthcare Envision innovative possibilities, experience our rewarding culture, and work with talented teams that help you become better every day. We know what it takes to lead UPS into tomorrow—people with a unique combination of skill + passion.If you have the qualities and drive to lead yourself or teams, there are roles ready to cultivate your skills and take you to the next level. Job Description Together, we are Marken, UPS Healthcare Precision Logistics. As the clinical and advanced therapy part of UPS Healthcare, we reach patients faster, with greater scalability and access to new pathways throughout the supply chain. With our One UPS advantage and comprehensive service portfolio, including Polar Speed's in-network pharmacies, we are optimally positioned to keep our clients competitive in an increasingly complex market. Work Location This position will begin in a temporary remote capacity. We anticipate transitioning the position to an on-site Miami, Florida office. During these periods, all responsibilities, reporting structure, and performance expectations will remain the same. The temporary remote arrangement will be reviewed regularly. Any changes will be communicated in advance to ensure a smooth transition to an on-site role. Candidates must be able to commute when on-site work resumes. What You Will Do • Handle incoming customer requests via phone, email and website with a sense of urgency and attention to detail • Using MNX's proprietary logistics management platform, process, monitor, and manage critical customer shipments for the medical, aerospace, telecommunications and high tech industries • Communicate with customers and agents in a professional and courteous manner • Meet required team metrics • Stay current on all required training What You Bring • At least 1 year of customer service experience • Time Management • Must be at least 18 years old and have a high school diploma or GED • Be proficient in: Microsoft-Word, Excel, Outlook & data entry and type 30 WPM • Knowledge of US and world geography and time zones is preferred • Call Center experience is preferred • Must have outstanding communication, customer service, and organizational skills • Be able to operate in a fast-paced and demanding environment • Be flexible - with the ability to work additional hours as business requires Shift / Hours: Tues-Sat 6:00AM- 4:30PM EST Must be able to train Monday - Friday 8:00am - 5:00pm EST for 3-4 weeks. Employee Type: Permanent UPS is committed to providing a workplace free of discrimination, harassment, and retaliation. UPS is an equal opportunity employer. UPS does not discriminate on the basis of race/color/religion/sex/national origin/veteran/disability/age/sexual orientation/gender identity or any other characteristic protected by law. Must be a U.S. Citizen or National of the U.S., an alien lawfully admitted for permanent residence, or an alien authorized to work in the U.S. for this employer.