Job DescriptionDescription
Providence Health Plan caregivers are not simply valued - they're invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Providence Health Plan is calling a Senior Customer Care Coordinator, Medicaid who will:
Serve as a member of a service team that supports multiple regions
Provide Health Plan customers with outstanding, seamless service in a call center-based team environment
Serve as a first line of communication with a variety of customers, including existing and potential members, providers, and employers
Provide a detailed benefit, eligibility and premium information on a broad portfolio of products
Assist members in selecting medical homes and primary care physicians
Educate members and providers in the appropriate use of health plan and clinic services
Research and respond to claims and authorization inquiries, and resolve customer issues and concerns
Require a high degree of problem solving, a thorough understanding of Health Plans' operations, including claim processing, enrollment processing, benefit and contract interpretation, medical management and behavioral health initiatives, and customer relations
Be expected to exercise an occasional leadership role as well
We welcome 100% remote work for residents who reside in one of the following States / Regions:
Washington: Clark County
Oregon
Required qualifications for this position include:
6+ months experience as a Customer Care Coordinator
Customer-facing experience in all aspects of customer service
A proven track record of learning and applying complex concepts and knowledge
A proven ability to problem solve
Preferred qualifications for this position include:
Bachelor's Degree -OR- a combination of equivalent education and experience
2+ years of customer service experience within a healthcare call center, office or health insurance environment
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
About Providence
At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Check out our benefits page for more information about our Benefits and Rewards.
About the Team
Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
Requsition ID: 262387
Company: Providence Jobs
Job Category: Claims
Job Function: Revenue Cycle
Job Schedule: Full time
Job Shift: Day
Career Track: Admin Support
Department: 5018 OPS PHT CUST SERVICE MEDICAID OR REGION
Address: OR Salem 3993 Fairview Industrial Dr SE
Work Location: Providence Health Plans-Tech Headquarters-Salem
Pay Range: $21.77 - $33.97
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Check out our benefits page for more information about our Benefits and Rewards.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.