Hybrid Customer Service Representative – Public Service Representative 3

Posted 2 weeks ago

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About the role

  • 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.

Job title

Customer Service Representative – Public Service Representative 3

Job type

Experience level

JuniorMid level

Salary

$3,429 - $4,622 per month

Degree requirement

High School Diploma

Location requirements

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