Customer Service Representative Job Vacancy in First Choice Health Spokane, WA 99201 – Latest Jobs in Spokane, WA 99201
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Company Name : First Choice Health
Location : Spokane, WA 99201
Position : Customer Service Representative
Job Description : Job descriptionFirst Choice Health, based in Seattle, Wash., is a dynamic leader in the Northwest health services community. Originating as a PPO Network in 1985, we eventually grew to serve all of Washington and the Northwestern U.S., including Oregon, Alaska, Idaho, Montana, Wyoming and select areas of North Dakota and South Dakota. As part of that growth, we began offering third party administration, medical management and employee assistance program services. As a hospital and physician-owned provider who services the medium to large group regional market, we are well positioned to adapt to the changing healthcare landscape. With a flexible systems architecture, we develop custom solutions and integrated services tailored to meet the needs of all clients. For more information, visit First Choice online at www.fchn.com.We are an equal opportunity employer, we offer competitive salaries and offer a comprehensive benefits package including medical, dental, vision, health savings accounts, flexible spending accounts, life and disability insurance, EAP, 401(k), profit sharing, tuition reimbursement, transportation assistance, credit union and gym membership discounts.POSITION SUMMARY: Responds to and follows up on customer inquiries.ESSENTIAL JOB DUTIES: Responds to telephone inquiries per established standards, policies and procedures.Handles challenging customer calls in a clear and courteous manner.Respond to written correspondence from customers as assigned.Researches issues and takes appropriate actions to resolve.Provides accurate information regarding benefits, providers, claims, referrals, eligibility, pharmacy, etc.Documents (online) each contact and outcome.Utilizes online benefits, Policies and Procedures.Provides feedback to unit Manager regarding plan benefits and system issues.Must comply with strict confidentiality of Protected Health Information.Must be able to work a fixed planned work schedule to ensure customer call loads are able to be effectively managed to ensure call wait time goals are met.Must consistently meet or exceed attendance standards, by not having more than two unplanned occurrences per any three month period.ADDITIONAL JOB DUTIES MAY INCLUDE: Processes EDI errors.Reviews, researches, and resolves claims in accordance with contracts and policies through the utilization of reference materials and on-line tools.Consistently maintains department minimum productivity and quality standards for adjudicating claims while maintaining established accuracy guidelines.Addresses and takes appropriate action on Action Requests received within 48 hours of receipt.Other duties as assigned.QUALIFICATIONS: Bilingual (Spanish) is a plus.HS Diploma or equivalent.Excellent verbal and written communication skills.Prefer minimum of 3 years customer service or equivalent experience.Ability to handle multiple priorities in a sometimes-stressful environment.Basic computer skills/ Word processing/ Windows environment preferred.PHYSICAL REQUIREMENTS: Ability to see and hear at normal levels with or without aid.Ability to sit for long periods of time.Finger and hand dexterity.Ability to bend and twist.’Job Type: Full-timePay: From $17.00 per hourBenefits:401(k)401(k) matchingDental insuranceDisability insuranceEmployee assistance programEmployee discountFlexible spending accountHealth insuranceHealth savings accountLife insurancePaid time offPaid trainingParental leaveProfit sharingTuition reimbursementVision insuranceWork from homeSchedule:8 hour shiftDay shiftMonday to FridayAbility to commute/relocate:Spokane, WA 99201: Reliably commute or planning to relocate before starting work (Preferred)Education:High school or equivalent (Preferred)Work Location: One location
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