Customer Service Representative II

3 days ago

Seattle, Washington, United States Community Health Plan of Washington Full time

Job Summary

We are seeking a highly skilled and compassionate Customer Service Representative II to join our team at Community Health Plan of Washington. As a key member of our customer service team, you will be responsible for providing exceptional support to our members and providers, ensuring accurate and timely resolution of inquiries and issues related to our health plans.

Key Responsibilities

  • Respond to member and provider inquiries regarding benefit interpretation, eligibility, claims status, and other related issues.
  • Provide information and facilitate resolution of issues and complaints in a courteous and professional manner.
  • Document inquiries, complaints, and other data in our computer database in an accurate and timely manner.
  • Provide back-up support to other positions and functional areas as needed.
  • Meet customer service attendance and quality standards, consistently striving to improve CS skills and provide first call resolution.
  • Participate in developing and maintaining a cohesive customer service team focused on delivering excellent customer service.

Requirements

  • High school diploma or equivalent required; some college or vocational training preferred.
  • Minimum of 2 years of customer service experience, preferably in insurance, managed care, or a provider setting.
  • Experience in a call center environment strongly preferred; claim processing knowledge and experience with state and federal programs (Medicare Advantage Plans) a plus.
  • Language skills, particularly in Spanish and Vietnamese, a plus.
  • Knowledge of medical terminology and healthcare preferred.

What We Offer

Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. We offer a competitive salary, comprehensive benefits package, and opportunities for professional growth and development.

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