Customer Support Representative
Company: MSCCN
Location: Springfield
Posted on: January 21, 2023
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Job Description:
This job was posted by : For more information, please see:
Looking for a way to make an impact and help people? Join
PacificSource and help our members access quality, affordable care
PacificSource is an equal opportunity employer. All qualified
applicants will receive consideration for employment without regard
to status as a protected veteran or a qualified individual with a
disability, or other protected status, such as race, religion,
color, national origin, sex, sexual orientation, gender identity or
age. Diversity and Inclusion: PacificSource values the diversity of
the people we hire and serve. We are committed to creating a
diverse environment and fostering a workplace in which individual
differences are appreciated, respected and responded to in ways
that fully develop and utilize each person's talents and strengths.
Position Overview: Provide excellent customer service primarily by
telephone to all PacificSource customers. Assist customers with
coverage/claims related questions. Accurately interpret benefits
and policy provisions for all PacificSource products. Conduct
appropriate research and follow-up for prompt resolution of
disputed claims. Essential Responsibilities: Work efficiently in a
high volume call center while maintaining a professional, positive,
and caring demeanor. Assist callers with coverage related
questions/concerns; accurately interpret policy provisions for
assigned products. Analyze customer's inquiries and determine
correct steps for resolution, interpret benefit information, and
claims processing accuracy. Keep resource information up to date
and well organized. Work efficiently in multiple systems
simultaneously while effectively utilizing critical thinking and
problem solving skills. Document calls in a clear and consistent
manner in computer system. Conduct appropriate research, take
ownership and follow through for prompt resolution of disputed
claims. Relay information to appropriate departments and personnel
using established communication channels and procedures. Make
outbound calls to members as necessary dependent upon current
outreach campaign. Supporting Responsibilities: Meet department and
company performance and attendance expectations. Be aligned with
PacificSource company values. Follow the PacificSource privacy
policy and HIPAA laws and regulations concerning confidentiality
and security of protected health information. Perform other duties
as assigned. SUCCESS PROFILE Work Experience: One-year medical
insurance, other healthcare related field, call center or customer
service experience required. CPT/ICD-10 coding preferred.
Education, Certificates, Licenses: High School Diploma or
equivalent required. Knowledge: Basic understanding of insurance
and medical terminology, coding and standard medical billing
practices preferred. Proficient computer skills, typing, and 10-key
required. Strong written and verbal communication skills.
Competencies Building Customer Loyalty Building Strategic Work
Relationships Contributing to Team Success Planning and Organizing
Continuous Improvement Adaptability Building Trust Work Standards
Environment: Work inside in a general office setting with
ergonomically configured equipment. Travel is required
approximately less than 5% of the time. Our Values We live and
breathe our values. In fact, our culture is driven by these seven
core values which guide us in how we do business: We are committed
to doing the right thing. We are one team working toward a common
goal. We are each responsible for customer service. We practice
open communication at all levels of the company to foster
individual, team and company growth. We actively participate in
efforts to improve our many communities-internally and externally.
We actively work to advance social justice, equity, diversity and
inclusion in our workplace, the healthcare system and community. We
encourage creativity, innovation, and the pursuit of excellence.
Physical Requirements: Stoop and bend. Sit and/or stand for
extended periods of time while performing core job functions.
Repetitive motions to include typing, sorting and filing. Light
lifting and carrying of files and business materials. Ability to
read and comprehend both written and spoken English. Communicate
clearly and effectively. Disclaimer: This job description indicates
the general nature and level of work performed by employees within
this position and is subject to change. It is not designed to
contain or be interpreted as a comprehensive list of all duties,
responsibilities, and qualifications required of employees assigned
to this
Keywords: MSCCN, Springfield , Customer Support Representative, Other , Springfield, Oregon
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