Customer Support Representative

3 months ago

Salem, United States PacificSource Full time
Looking for a way to make an impact and help people?

Join PacificSource and help our members access quality, affordable care

PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age.

Diversity and Inclusion: PacificSource values the diversity of the people we hire and serve. We are committed to creating a diverse environment and fostering a workplace in which individual differences are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.

Position Overview: Provide excellent customer service primarily by telephone to all PacificSource customers. Assist customers with coverage/claims related questions. Accurately interpret benefits and policy provisions for all PacificSource products. Conduct appropriate research and follow-up for prompt resolution of disputed claims.

Essential Responsibilities:
  • Work efficiently in a high volume call center while maintaining a professional, positive, and caring demeanor.
  • Assist callers with coverage related questions/concerns; accurately interpret policy provisions for assigned products.
  • Analyze customer's inquiries and determine correct steps for resolution, interpret benefit information, and claims processing accuracy. Keep resource information up to date and well organized.
  • Work efficiently in multiple systems simultaneously while effectively utilizing critical thinking and problem solving skills.
  • Document calls in a clear and consistent manner in computer system.
  • Conduct appropriate research, take ownership and follow through for prompt resolution of disputed claims.
  • Relay information to appropriate departments and personnel using established communication channels and procedures.
  • Make outbound calls to members as necessary dependent upon current outreach campaign.
Supporting Responsibilities:
  • Meet department and company performance and attendance expectations.
  • Be aligned with PacificSource company values.
  • Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
  • Perform other duties as assigned.
SUCCESS PROFILE

Work Experience: One-year medical insurance, other healthcare related field, call center or customer service experience required. CPT/ICD-10 coding preferred.

Education, Certificates, Licenses: High School Diploma or equivalent required.

Knowledge: Basic understanding of insurance and medical terminology, coding and standard medical billing practices preferred. Proficient computer skills, typing, and 10-key required. Strong written and verbal communication skills.

Competencies
  • Building Customer Loyalty
  • Building Strategic Work Relationships
  • Contributing to Team Success
  • Planning and Organizing
  • Continuous Improvement
  • Adaptability
  • Building Trust
  • Work Standards
Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately less than 5% of the time.

Skills:
Accountability, Communication, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork

Our Values

We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:
  • We are committed to doing the right thing.
  • We are one team working toward a common goal.
  • We are each responsible for customer service.
  • We practice open communication at all levels of the company to foster individual, team and company growth.
  • We actively participate in efforts to improve our many communities-internally and externally.
  • We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.
  • We encourage creativity, innovation, and the pursuit of excellence.


Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.

Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.

  • Customer Service Representative

    2 weeks ago

    Salem, New Hampshire, United States medmix Full time

    Job Description**About the Role**As a Customer Service Representative - Sales Support, you will play a vital role in ensuring the satisfaction of our customers by providing timely and effective support. You will be the primary point of contact for customers, responding to their inquiries, resolving issues, and escalating complex problems to the relevant...

  • Customer Service Representative

    3 days ago

    Salem, Oregon, United States People's Bank of Commerce Full time

    Job Title: Customer Service RepresentativeWe are seeking a highly skilled and customer-focused Customer Service Representative to join our team at People's Bank of Commerce. As a key member of our branch team, you will be responsible for providing exceptional customer service and support to our customers, while also promoting our bank's products and...

  • Customer Service Representative

    6 days ago

    Salem, Oregon, United States PacificSource Full time

    PacificSource Customer Support RepresentativeWe are seeking a highly skilled and compassionate Customer Support Representative to join our team at PacificSource. As a key member of our customer service team, you will be responsible for providing exceptional support to our members, addressing their concerns, and ensuring their satisfaction with our...

  • Customer Service Representative

    5 hours ago

    Salem, Massachusetts, United States Enterprise Truck Rental Full time

    Customer Service Representative - Full Time - SalemJob OverviewEnterprise Rent-A-Car is seeking a highly motivated and customer-focused Customer Service Representative to join our team in Salem, OR.About the RoleAs a Customer Service Representative, you will be responsible for providing exceptional customer service to both internal and external customers,...

  • Customer Service Representative

    1 week ago

    Salem, New Hampshire, United States Mckinnonsmarkets Full time

    {"title": "Customer Service Representative", "content": "Customer Service RepresentativeWe are seeking a highly motivated and customer-focused individual to join our team as a Customer Service Representative. As a key member of our Front End Department, you will play a vital role in providing exceptional customer service and ensuring a positive shopping...

  • Customer Service Representative

    7 days ago

    Salem, Oregon, United States Wal-Mart Stores , Inc. Full time

    {"title": "Customer Service Representative", "content": "About the Role: As a Customer Service Representative at Walmart, you will play a vital role in ensuring our customers have a positive experience in our stores. You will be the first point of contact for many customers, and your friendly demeanor and excellent communication skills will make all the...

  • Customer Service Representative

    7 days ago

    Salem, New Hampshire, United States Wal-Mart Stores , Inc. Full time

    {"title": "Customer Service Representative", "content": "About the RoleWe are seeking a Customer Service Representative to join our team at Walmart. As a Customer Service Representative, you will play a key role in ensuring that our customers have a positive experience in our store.Key ResponsibilitiesProvide exceptional customer service to all...

  • Customer Service Representative

    2 days ago

    Salem, Oregon, United States ASC Profiles Full time

    Job DescriptionThe Customer Service Representative will be responsible for managing the order fulfillment process, including claims resolution. This role exists to coordinate customer orders and build customer relationships to generate business for ASC Profiles. Developing strong relationships within our customer base is critical as this position is the...

  • Customer Service Representative

    3 weeks ago

    Salem, United States VESTIS Full time

    Handle inbound customer calls and provide requested information on all available items, pricing, and service of the customer's account. Efficiently and accurately record all information including any notes related to the customer's issue or account. Customer Service Representative, Customer Service, Representative, Manufacturing, Retail, Skills

  • Customer Support Specialist

    3 weeks ago

    Salem, Oregon, United States Courthouse Club Fitness Full time

    Job OverviewMember Service RepresentativeAre you a meticulous individual who thrives in a community-focused environment? Do you possess experience in customer service, whether through digital platforms or face-to-face interactions? Are you passionate about providing assistance to clients via phone or email?A vital member of our Member Services Department...

  • Customer Service Representative

    2 weeks ago

    Salem, Oregon, United States Manpower Group Inc. Full time

    Job SummaryWe are seeking a highly skilled and customer-focused individual to join our team as a Call Center Representative. As a key member of our customer service team, you will be responsible for providing exceptional support to our clients and customers.Key ResponsibilitiesProvide technical assistance and support to customers via phone, email, and...

  • Customer Service Representative

    2 weeks ago

    Salem, United States Ingredion Full time

    TITLE: Customer Service Representative.LOCATION: SalemThe Customer Service Representative will Respond to customer inquiries via telephone or email to provide problem resolution to the organization's service standards. Core Responsibilities : Answer customer calls and emails, process orders and arrange transportation for the orders.Maintain orders in SAP or...

  • Customer Service Representative

    7 days ago

    Salem, Oregon, United States Career Transitions, LLC Full time

    Customer Service RepresentativeWe are seeking a dedicated and detail-oriented Customer Service Representative to join our client team. As a key member of our team, you will be responsible for providing exceptional customer service, resolving customer inquiries, and ensuring a positive customer experience.Key Responsibilities:Respond to customer inquiries via...

  • Customer Service Representative

    1 week ago

    Salem, United States Hiring Now! Full time

    TITLE: Customer Service Representative.LOCATION: SalemThe Customer Service Representative will Respond to customer inquiries via telephone or email to provide problem resolution to the organization's service standards. Core Responsibilities : Answer customer calls and emails, process orders and arrange transportation for the orders.Maintain orders in SAP or...

  • Customer Service Representative

    1 week ago

    Salem, Illinois, United States Wal-Mart Stores , Inc. Full time

    {"title": "Customer Service Representative", "content": "About the RoleWe are seeking a Customer Service Representative to join our team at Walmart. As a Customer Service Representative, you will play a key role in ensuring that our customers have a positive experience in our store.Key ResponsibilitiesProvide exceptional customer service to all...

  • Customer Service Representative

    2 weeks ago

    Salem, Oregon, United States Disability Solutions Full time

    About the RoleWe are seeking a highly skilled and customer-focused individual to join our team as a Customer Service Representative. As a key member of our Disability Solutions team, you will be responsible for providing exceptional customer service and support to our clients.Key ResponsibilitiesProvide timely and effective resolution of customer inquiries...

  • Customer Service Representative

    4 weeks ago

    Salem, United States Ingredion Incorporated Full time

    TITLE: Customer Service Representative. LOCATION: Salem The Customer Service Representative will Respond to customer inquiries via telephone or email to provide problem resolution to the organization's service standards. Core Responsibilities: Answer customer calls and emails, process orders and arrange transportation for the orders. Maintain orders in SAP...

  • Customer Service Representative

    1 week ago

    Salem, Oregon, United States Bernard Nickels & Associates Full time

    {"title": "Customer Service Representative", "content": "Job SummaryWe are seeking a highly skilled Customer Service Representative to join our team at Bernard Nickels & Associates. As a Customer Service Representative, you will be responsible for interacting with clients' customers to negotiate payment arrangements and resolve disputes related to debt...

  • Customer Service Representative

    4 days ago

    Salem, New Hampshire, United States Airgas Full time

    Job SummaryWe are seeking a highly skilled Customer Service Representative to join our team at Airgas. As a key member of our customer-facing team, you will be responsible for providing exceptional support to our customers, ensuring their needs are met and exceeded.Key ResponsibilitiesProvide timely and effective support to customers via phone, email, and...

  • Customer Service Representative

    1 week ago

    Salem, Ohio, United States raccareers Full time

    **About the Role**We are seeking a highly motivated and customer-focused individual to join our team as a Customer Account Representative. As a key member of our retail team, you will be responsible for providing exceptional customer service and building strong relationships with our clients.**Key Responsibilities**Provide excellent customer service and...