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FIRST CHOICE HEALTH
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| COMPANY INFORMATION: |
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First Choice Health is a Seattle-based, physician and hospital-owned company
serving Washington and the Northwest since 1985. We now serve well over one million
people with our array of products and services. Our Preferred Provider Organization (PPO)
is recognized as the leading independent PPO in Washington State and has a growing
regional presence in Oregon, Idaho, Montana and Alaska.
We occupy a great downtown location, pay competitive salaries and offer a comprehensive
benefits package including medical, dental, vision, health savings accounts, flexible
spending accounts, life and disability insurance, EAP, 401(k), profit sharing, tuition
reimbursement, transportation assistance, credit union and gym membership discounts.
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CUSTOMER SERVICE REPRESENTATIVES - PPO NETWORK - Seattle (2 POSITIONS) |
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| JOB SUMMARY: |
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According to established departmental policy, procedures, and standards, track, triage, and monitor inquiries, requests, and complaints from providers, payors, subscribers, brokers and internal departments regarding a variety of PPO customer service issues and requests. Additionally, through extensive cross training, the Customer Service Representative provides internal operations support to PPO Operations departments as needed and assist with marketing efforts by informing clients of network services and other company products available. The Customer Service Representative is responsible for maintaining a strong service relationship with providers, payors, subscribers, and other departments; as well as resolving general caller issues and/or concerns. |
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| MAIN DUTIES: |
- Assist callers in locating in-network providers/facilities, in obtaining a current preferred provider directory, and adding providers to the network.
- Conduct member education by providing specific information on network role in healthcare delivery process as it pertains to available services and access.
- Assist callers with determining claim pricing status or in locating a member's insurance carrier or claims administrator to determine claims payment status.
- Track and triage caller complaints according to the department complaint process and procedures.
- Process directory and other related materials orders into the Tracking system for shipment and tracking.
- Maintain open communication and service relationship with internal and external customers by responding timely to requests and following-up on all commitments.
- Refer potential clients calling in for information on company services/products to the Marketing Department for follow-up.
- Identify and respond to marketing opportunities by offering information on network services/provider access not referenced in group record.
- Maintain the Directory Order Log by entering supply orders as they are received in accordance with department guidelines.
- Successfully complete all sections of the Customer Service training program.
- Provide system data integrity feedback when informed of a discrepancy by a customer accessing the company website provider search tools.
- Other duties as required.
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| REQUIREMENTS: |
- High School Diploma or equivalent.
- 1-2 years experience in customer service, healthcare related customer service preferred.
- Strong written, verbal and interpersonal communications skills.
- Basic clerical skills.
- Basic computer knowledge and skills.
- Knowledge of and/or ability to interpret procedure and policy.
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| CONTACT INFORMATION: |
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Please submit your resume to jobs@fchn.com.
Additional information about our company may be found on our website
www.fchn.com
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