Customer Service Representative I

Job not on LinkedIn

🔥 0 minutes ago

☕ Washington – Remote

☕ Washington – Remote

💵 $21 - $28 / hour

⏰ Full Time

🟢 Junior

💝 Customer Support

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Community Health Plan of Washington

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1992

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Community Health Plan of Washington is a nonprofit health plan founded in 1992 by Washington’s community health centers that provides Medicaid (Apple Health), Medicare Advantage, Dual-eligible, and Individual & Family insurance plans across Washington state. It offers care management, behavioral health, virtual care, member support and community services, and programs such as rewards, language assistance, and provider networks to serve members and community health needs.

📋 Description

• Respond to member and provider inquiries regarding benefits, eligibility, claim status, and related issues • Provide information and facilitate or coordinate appropriate resolutions • Provide first-call resolution for inquiries regarding benefit interpretation, eligibility, access to care through plan providers, and related issues under Washington Apple Health, Cascade Select Plans, and other CHPW products • Document inquiries, complaints, and other data accurately, clearly, and promptly in a computer database • Meet attendance and call-quality standards • Perform job functions accurately, with attention to detail, within established timeframes • Perform other duties as assigned

🎯 Requirements

• Knowledge of Washington Apple Health state medical insurance • Knowledge of medical terminology and healthcare • Minimum of one (1) year of customer service and/or call center experience, preferably in insurance, managed care, or a provider setting • Comfortable working in a 100% remote environment • Ability to gather and assess information from multiple systems, apply protocols, and determine appropriate actions • Ability to use MS Office products such as Outlook, Word, and Excel • Excellent verbal and written communication skills, including typing • Must complete and successfully pass a criminal background check • Must not be sanctioned or excluded from participation in federal or state healthcare programs • Vaccination requirement, with medical or religious exemptions available • Ability to learn and prioritize multiple tasks and handle demanding situations • Analytical, problem-solving, and critical-thinking ability

🏖️ Benefits

• Eligible for overtime • 5% annual incentive target based on company, department, and individual performance goals • Medical, Prescription, Dental, and Vision • Telehealth app • Flexible Spending Accounts • Health Savings Accounts • Basic Life AD&D • Short- and Long-Term Disability • Voluntary Life, Critical Care, and Long-Term Care Insurance • 401(k) Retirement and generous employer match • Employee Assistance Program and Mental Fitness app • Financial Coaching • Identity Theft Protection • PTO accrual starting at 17 days per year • 40 hours Community Service volunteer time • 10 standard holidays • 2 floating holidays • Compassion time off • Jury duty leave • Medical or religious vaccination exemptions process • Reasonable accommodation for disabilities