Health Plan Customer Care Specialist I

Samaritan Health Services; Corvallis (OR); On-site; USD 23,000 - 34,000; Full time

Job summary

Samaritan Health Plans is hiring for a customer service role focused on health plan benefits and related workflows. You will evaluate member and provider communications and process benefit requests, serving as the primary contact for plan questions across all lines of business.

The role requires strong written and verbal communication, the ability to work with various levels of the organization, and adherence to state and federal regulations. Experience in a health plan setting is preferred.

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.

Responsibilities

• Ensure a high level of customer service and accuracy for plan benefits and accompanying workflow.
• Evaluate communications from members and providers and process requests accordingly.
• Acts as primary contact for plan benefit questions for all lines of business for both internal and external customers.
• Communicate orally and in writing with members and providers in response to questions and requests.

Skills

Customer service

Communication

Education

High School Diploma

Job description

Samaritan Health Plans is hiring for a customer service role focused on health plan benefits and related workflows. You will evaluate member and provider communications and process benefit requests, serving as the primary contact for plan questions across all lines of business.

The role requires strong written and verbal communication, the ability to work with various levels of the organization, and adherence to state and federal regulations. Experience in a health plan setting is preferred.