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Customer Services Specialist I

Expired Job

Kaiser Permanente Renton , WA 98055

Posted 2 months ago

Description:

Resolve complaints and inquires and provide education to members, prospective members, providers, other insurance carriers, agents, brokers, attorneys, employer groups and other member or provider representatives in writing, in person and over the telephone. Health plan related issues may include medical coverage, claims, referrals or eligibility.

Delivery system issues may include appointment access, medical center service complaints, physician selection, fee quotes and patient billing issues. Governance issues may be voting member information or consumer governance policies.

Essential Responsibilities:

Responds to health plan, delivery system, and governance inquiries and complaints in writing and over the telephone.

Researches issues. Interact with other departments, physicians or administrators as needed. Resolve or escalate when appropriate.

Identify errors and determine what corrective steps need to be taken to resolve.

Interpret and apply all benefits according to appropriate contract.

Document all interactions in contract tracking system according to regulatory guidelines.

Basic Qualifications:

Experience

  • Minimum one (1) years of customer service experience.

Education

High School Diploma/GED

License, Certification, Registration

N/A

Additional Requirements:

Analytical, communication and problem solving skills.

Computer skills.

Ability to exercise discretion.

Preferred Qualifications:

Two (2) years of call center experience in a health care or insurance environment.

Associate's or bachelor's degree.

Primary Location: Washington,Renton,Renton Administration - Rainier 2715 Naches Ave.

Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri Working Hours Start: 8:00 AM Working Hours End: 5:00 PM Job Schedule:

Full-time Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation:

Non-Union, Non-Exempt Job Level: Individual Contributor Job Category: Customer Services Department:

Member Services Travel: No

Click here for additional requirements >



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Customer Services Specialist I

Expired Job

Kaiser Permanente