Trading Support Specialist at Cargill assisting merchants with rail contracts execution and customer service. Coordinating with accounting to ensure timely contract application and resolution of issues.
OS
Hybrid Customer Service Representative – Public Service Representative 3
Posted 5 months ago
About the role
- Customer Service Representative assisting Medicaid participants in Oregon with inquiries. Providing guidance on the Oregon Health Plan and resolving issues related to healthcare.
Responsibilities
- Answer phone calls from Medicaid participants and their representatives.
- Provide guidance on accessing the Oregon Health Plan and seek to resolve questions or concerns.
- Explain rules, policies, and procedures to help members understand their health care and billing issues.
- Provide guidance on how to work with their Coordinated Care Organization or their Open Card providers.
- Respond to phone and email inquiries from participants, advocates, providers, coordinated care plans, medical professionals, and agency staff.
- Review systems and assist with questions about medical benefits, referring callers to appropriate resources.
- Respond professionally to callers who may be frustrated, confused, or concerned, and support those lodging complaints or reporting fraud.
- Accurately document calls and conduct follow-up research using multiple databases.
- Verify eligibility/coverage dates, coordinated care and third-party resources.
Requirements
- Two years of experience in customer service.
- One year of which must have included explanation of rules, regulations, and policies and responsibility for dealing with unique or unusual situations.
Benefits
- Excellent medical, vision, and dental benefits package for the employee and qualified family members with a very low monthly out-of-pocket cost.
- Optional life insurance, short-term disability, long-term disability, deferred compensation savings program, and flexible spending accounts for health care and childcare expenses.
- Employee benefits include 11 paid holidays, 3 personal business days, 8 hours of monthly sick leave, and vacation accrual starting at 8 hours per month.
- Possible eligibility for the Public Service Loan Forgiveness Program.
- Membership in the Public Employees Retirement System (PERS)/Oregon Public Service Retirement Plan (OPSRP).
- Training opportunities that will help grow your career with the State of Oregon.
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