Customer Service Specialist I
Kaiser Permanente - Renton, WA
High School Diploma/GED N/A Analytical, communication and problem solving skills. Computer skills. Ability to exercise discretion. Two (2) years of call center experience in a health care or insurance environment. Associate's or bachelor's degree.
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.
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.
- Minimum one (1) years of customer service experience.
License, Certification, Registration
Attention - In the recruitment process, legitimate companies never withdraw fees from candidates. If there are companies that attract interview fees, tests, ticket reservations, etc. it is better to avoid it because there are indications of fraud. If you see something suspicious please contact us: [email protected]
Other jobs you may like
Sr. Endpoint Security EngineerLabCorpLocation Burlington, North Carolina Job ID 19-77608 Laboratory Corporation of America is seeking an Endpoint and Server Security Engineer to join the Office of19 minute agoShareCarolina, NC
Certified Central Supply Sterile Processing TechnicianCleveland ClinicJob Summary: Responsible for safe efficient practices for decontamination, instrument assembly, wrapping and sterilization of all reprocessed instruments, distribution20 minute agoShareGarfield Heights, OH
Registered Respiratory Therapist - 20 HoursCleveland ClinicJob Summary: Provides assessment, treatment, care and evaluation for patients with respiratory insufficiencies. Responsibilities: Assesses patient for appropriate type20 minute agoShareEuclid, OH
PhlebotomistLabCorpRequisition Number: 19-77620 Shift: 1 Work Schedule: Monday-Friday 7:45AM-4:45AM At LabCorp we have a passion in helping people live happy and healthy lives. Every20 minute agoShareLa Grange, KY
Phlebotomist - Griffin, GALabCorp6 hours Phlebotomist - Griffin, GA LabCorp Griffin, GA 30224 Apply Now Apply on the Company Site Requisition Number: 19-76648 Shift: 1 Work Schedule:20 minute agoShareGriffin, GA