Patient Service Representative (Remote)

JOB DESCRIPTION:

Position: Patient Service Representative

Location: Remote

Shift: Days (0830-1700) occasional weekend,

Guaranteed hours: No

Duration: 13 Weeks Contract

Facility Name: Samaritan Health Services

JOB SUMMARY

• JOB SUMMARY/PURPOSE
• Responsible for grievance and appeals coordination and resolution for all Samaritan Health Plan (IHN, SAHP, Commercial, Choice) members who engage with the grievance process. Coordinates and resolves complaints and inquiries (included in “grievances”) from regulatory agencies, consumer rights organizations and legislators. Responsible for the documentation, monitoring and regulatory reporting obligations
• DEPARTMENT DESCRIPTION
• Samaritan Health Plans (SHP) operates a portfolio of health plan products under several different legal structures: InterCommunity Health Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans; SHP is also the third-party administrator for Samaritan Health Services’ self-funded employee health benefit plan. As part of an Integrated Delivery System, Samaritan Health Plans is strategically and operationally aligned with Samaritan Health Services’ mission of Building Healthier Communities Together.
• EXPERIENCE/EDUCATION/QUALIFICATIONS
• High school diploma or equivalent required.
• Bachelor’s degree in a related field preferred.
• Three (3) years health plans or health insurance experience required.

Job Type: Contract

Pay: $25.00 per hour

Schedule:

• Day shift

Experience:

• Patient Service Coordinator: 3 years (Required)

Location:

• Corvallis, OR 97330 (Required)

Work Location: Remote