Health Plan Customer Service Associate

Adventist Health • Portland, OR

8h

About The Position

In a bustling cosmopolitan area surrounded by nature, Adventist Health Portland
has been one of the area's leading healthcare providers since the 1800s. In
partnership with OHSU, we are comprised of a 302-bed hospital, 11 medical
offices, home care services, comprehensive cancer care and a vast scope of
award-winning services located throughout East Portland and the surrounding
areas. There are many outdoor adventures readily available, including carving
the snow at North America's only year-round ski resort, hiking along the
Columbia River Gorge or taking a day trip to the unmatched beauty of the Oregon
coast.

Job Summary:

Handles incoming calls from plan members and healthcare providers for the health
plans. Provides information as needed for questions related to medical, dental,
vision claims based upon the benefit descriptions. Provides communication,
information, assistance and coordination for all customer requests.

Requirements

• Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.
• Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

Nice To Haves

• High School Education/GED or equivalent: Preferred
• Associate’s/Technical Degree or equivalent combination of education/related experience: Preferred
• Two years' experience in customer service and or health plan customer service experience: Preferred

Responsibilities

• Provides information as needed for questions related to medical, dental and vision claims.
• Serves as the subject matter expert for the benefit descriptions, claims payment process and plan provisions.
• Receives, processes, and distributes all types of incoming mail. Properly records incoming checks. Manages filing systems for incoming, outgoing and processed mail. Pulls files/claims as needed for staff. Prepares bills to be sent for review.
• Maintains basic knowledge of claims software system.
• Prepares general documents. Completes copywork as requested. Retrieves files. Requests equipment service. Provides relief receptionist coverage. Delivers, distributes and assists with maintenance of supplies.
• Performs other job-related duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees