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Customer Service Specialist I - Medicare (1.0 FTE, Renton) at Kaiser Permanente

Posted in Customer Service 30+ days ago.

Type: Full-time
Location: Seattle, Washington





Job Description:
Kaiser Permanente Washington, headquartered in Seattle, Washington, provides and coordinates complete health care services for more than 650,000 members through 26 medical centers. Founded in 1947, Kaiser Permanente Washington existed for nearly 70 years as Group Health Cooperative, a regional nonprofit which gained national recognition for medical quality, disease prevention, and evidence-based treatments. Kaiser Permanente welcomed Group Health, its medical centers and members, into the Kaiser Permanente family in 2017 creating Kaiser Permanente's eighth region. Kaiser Permanente of Washington is a total health organization comprising Kaiser Foundation Health Plan of Washington, and the Washington Permanente Medical Group, P.C., formerly Group Health Physicians, an independent medical group that features more than 1,000 physicians.

Resolve complaints and inquires and provide education to members, prospective members, providers, other insurance carriers, agents, brokers, attorneys, employer groups and other member or provider representatives in writing, in person and over the telephone. Health plan related issues may include medical coverage, claims, referrals or eligibility. Delivery system issues may include appointment access, medical center service complaints, physician selection, fee quotes and patient billing issues. Governance issues may be voting member information or consumer governance policies.


Education Minimum Education Requirements High School Diploma/GED Preferred Education Associates or Bachelors Degree Knowledge/Skills Minimum Knowledge/Skills Requirements Intermediate analytical, communication and problem solving skills, computer skills. Ability to exercise discretion. Preferred Knowledge/Skills Unspecified Experience Minimum Experience Requirements 2 years' call center experience Preferred Experience 2 years' call center experience in a health care or insurance environment License/Certifications Minimum License/Certifications Requirements None Required Preferred License/Certifications None Required External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.