Experienced Customer Service Representative I (Call Center) – Health Plan Operations
At arenaflex, we're dedicated to building healthier communities together, and we're seeking a highly skilled and compassionate Customer Service Representative I (Call Center) to join our team in Corvallis, OR. As a key member of our Health Plan Operations department, you'll play a vital role in ensuring exceptional customer service and accuracy for plan benefits and accompanying workflow.
About arenaflex
arenaflex is a leading healthcare organization that operates a portfolio of health plan products under several different legal structures. Our mission is to provide high-quality, patient-centered care while fostering a culture of innovation, collaboration, and excellence. As part of our Integrated Delivery System, we're strategically and operationally aligned with our mission to build healthier communities together.
Job Summary/Purpose
As a Customer Service Representative I (Call Center), you'll be responsible for ensuring a high level of customer service and accuracy for plan benefits and accompanying workflow. You'll evaluate communications from members and providers, process requests accordingly, and act as the primary contact for plan benefit questions for all lines of business for both internal and external customers. Your exceptional oral and written communication skills will enable you to effectively respond to questions and requests from members and providers.
Department Description
Samaritan Health Plans (SHP) operates a portfolio of health plan products under several different legal structures, including InterCommunity Health Plans, Inc. (IHN), which is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries. Our organization offers Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans, as well as serving as the third-party administrator for arenaflex's self-funded employee health benefit plan. As part of our Integrated Delivery System, we're strategically and operationally aligned with arenaflex's mission of building healthier communities together.
Experience/Education/Qualifications
* High School Diploma or equivalent required
- Two (2) years professional customer service experience required
- Experience in a health plan setting preferred
- Experience with State and Federal rules and regulations (including Medicare and Medicaid) preferred
Knowledge/Skills/Abilities
* Effective written and verbal communication skills to perform group presentations, tactfully discuss issues, and listen to and understand concepts, rules, and procedures
- Ability to work with all levels within the organization, facilitate communication, and effectively document related activities
- Ability to identify complex problems, review related information, employ creativity and alternative thinking to develop and evaluate options, and implement solutions
Physical Demands
* Rarely (1 - 10% of the time): + CLIMB - STAIRS + LIFT (Floor to Waist: 0"-36") 0 - 20 Lbs + LIFT (Knee to chest: 24"-54") 0 – 20 Lbs + LIFT (Waist to Eye: up to 54") 0 - 20 Lbs + CARRY 1-handed, 0 - 20 pounds + BEND FORWARD at waist + KNEEL (on knees) + STAND + WALK – LEVEL SURFACE + ROTATE TRUNK Standing + REACH - Upward + PUSH (0 - 20 pounds force) + PULL (0 - 20 pounds force) + SIT + CARRY 2-handed, 0 - 20 pounds + ROTATE TRUNK Sitting + REACH - Forward + MANUAL DEXTERITY Hands/wrists + FINGER DEXTERITY + PINCH Fingers + GRASP Hand/Fist
What We Offer
* Competitive salary and benefits package
- Opportunities for career growth and professional development
- Collaborative and dynamic work environment
- Recognition and rewards for outstanding performance
- Comprehensive training and support to ensure your success
How to Apply
If you're a motivated and customer-focused individual with a passion for delivering exceptional service, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and cover letter, through our online portal. We can't wait to hear from you!
Equal Employment Opportunity
arenaflex is an equal employment opportunity employer and welcomes applications from diverse candidates. We're committed to creating an inclusive and respectful work environment that values diversity, equity, and inclusion.
Contact Us
If you have any questions or would like to learn more about this opportunity, please don't hesitate to contact us at [insert contact information]. We look forward to connecting with you! Apply for this job