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Company: CareOregon
Contact Name: Stephanie Kopperud
URL: https://www.careoregon.org/
Job Title: Customer Service Representative I - Bilingual
Job Category: Customer Service/Support/Call Center
Job description:  
* This position can be worked out of Portland or Medford, OR *

Are you excited to step into a complex world that requires a blend of mind, heart and flexibility? We at CareOregon have been strengthening communities since 1994 by making health care work for everyone. As a nonprofit health plan largely focused on Oregon’s Medicaid population, we find fulfillment in supporting the underserved.

And we’re committed to that work in various areas of our wondrous state—including Jackson County, in Southern Oregon. The region is anchored by the small city of Medford, home to our office and in easy reach of rushing rivers, the Pacific coast, Shakespearean plays, wine country, and the majesty of the Rogue River-Siskiyou National Forest. Please consider joining us here at Jackson Care Connect, our Coordinated Care Organization dedicated to our members’ physical, emotional and oral health. We look forward to your application!

General Statement of Duties

The Customer Service Representative I is the initial point of contact for members of CareOregon and provides excellent customer service delivery relating to the Oregon Health Plan, Medicaid or Medicare, Group and Individual Medical, Dental and Mental Health. This entry level position typically focuses on member inquiries, but may assist with outbound calls.

Essential Position Functions

Customer Service

• Research, verify and resolve inquiries relating to Oregon Health Plan or Medicare eligibility with guidance from supervisory and leads.
• Respond and assist members with Primary Care Provider (PCP) assignments.
• Learn to collaborate with others inside and outside department to explain benefits not covered by Oregon Health Plan or Medicare and provide information on community resources when appropriate.
• Work collaboratively with providers, DMAP, or members to ensure effective customer service and the resolution of health plan problems (i.e., eligibility and system) as needed.
• Use online Call Tracking system to document all activities from any mode of communication from members, providers and other customers.
• Maintain confidentiality for all members.
• Coordinate mailing of member materials as needed.
• Treat all members with honesty, courtesy, dignity and respect.
• Provide members with professional, timely and competent service.
• Provide proactive, value added service by identifying and reporting system/technology issues.
• Consistently meet or exceed Department and Company standards and expectations including but not limited to quality, production and attendance.

Outbound Calls/Projects

• May assist with outbound calls to Medicaid or Medicare members, which may include welcome and retention calls.

Education and/or Experience

Minimum 1 year experience required in customer service or health care

Fluency through language testing in a second language relevant to the population served

Work experience in a call center

Candidates of color are strongly encouraged to apply. CareOregon is committed to building a linguistically and culturally diverse and inclusive work environment

Veterans are strongly encouraged to apply.

Equal opportunity employer. This company considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.

To appy to this job, copy and paste this link into your browser: https://cutt.ly/DjfRtYD
Bilingual, previous call center experience, previous healthcare experience

Employment type:
  • Full Time
Salary Range: Unspecified
Job Link: You must first register to view this information.
Other Information
Degree: Unspecified
Experience (year): 1
Job Location: Medford - Oregon - USA
Post Date: 01/07/2021
Contact Information
Company: CareOregon
Contact Name: Stephanie Kopperud
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