Senior Customer Care Coordinator, Medicare Advantage

Description

Providence Health Plan caregivers are not simply valued – they’re invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Providence Health Plan is calling a Senior Customer Care Coordinator, Medicare Advantage who will:

• Serve as a member of a service team that supports multiple regions
• Provide Health Plan customers with outstanding, seamless service in a call center-based team environment
• Serve as a first line of communication with a variety of customers, including existing and potential members, providers, and employers
• Provide a detailed benefit, eligibility and premium information on a broad portfolio of products
• Assist members in selecting medical homes and primary care physicians
• Educate members and providers in the appropriate use of health plan and clinic services
• Research and respond to claims and authorization inquiries, and resolve customer issues and concerns
• Require a high degree of problem solving, a thorough understanding of Health Plans' operations, including claim processing, enrollment processing, benefit and contract interpretation, medical management and behavioral health initiatives, and customer relations
• Be expected to exercise an occasional leadership role as well

We welcome 100% remote work for residents who reside in one of the following States / Regions:

• Oregon

Required qualifications for this position include:

• 6+ months experience as a Customer Care Coordinator
• Customer-facing experience in all aspects of customer service
• A proven track record of learning and applying complex concepts and knowledge
• Strong problem-solving skills

Preferred qualifications for this position include:

• Bachelor's Degree -OR- a combination of equivalent education and experience
• 4+ years' experience working in a high-pressure customer facing service environment

Why Join Providence?

Ourbest-in-class benefitsare uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering ourMissionof caring for everyone, especially the most vulnerable in our communities.

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Check out our benefits page for more information about our Benefits and Rewards.

About the Team

Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

Requsition ID: 265388

Company: Providence Jobs

Job Category: Claims

Job Function: Revenue Cycle

Job Schedule: Full time

Job Shift: Day

Career Track: Admin Support

Department: 5018 OPS PHT CUST SERVICE MEDICARE OR REGION

Address: OR Salem 3993 Fairview Industrial Dr SE

Work Location: Providence Health Plans-Tech Headquarters-Salem

Pay Range: $21.77 - $33.97

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Check out our benefits page for more information about our Benefits and Rewards.