Pacific Medical Center Jobs

Job Information

Pacific Medical Centers Member Services Representative - Uniformed Services Family Health Plan *Up to $2,000 Hiring Bonus* in Seattle, Washington

Description

Find what you’re looking for in your career, at PacMed as a Member Services Representative (1.0 FTE, Day Shift) to work in Uniformed Services Family Health Plan (USFHP) in Seattle, WA.

$2,000 Sign On Bonus (External Only)

P rovides customer service to all members of US Family Health Plan at Pacific Medical Clinics. Uses automatic call distribution system (ACD) to interact wiht members and providers who call for assistance. Sorts mail and responds to written inquiries from members and providers. Provides timely, accurate and thorough responses to telephone, written or direct member inquiries. Provides explanation or verification of benefits, member education, and assists members who have complaints or grievances.

In this position you will:

  • Researches Plan benefits and informs members of coverage details, informs non-eligible military beneficiaries of other health coverage options; orients new enrollees to their coverage and the workings of the Plan; accurately records and tracks interactions with beneficiaries and providers; interacts with members and providers to answer inquiries regarding benefits, referral claims statuses; interacts with military agencies as appropriate, on behalf of USFHP regarding any uniformed services beneficiary receives complaints or grievances from beneficiaries regarding the Plan or health care delivery provided through the USFHP; guides beneficiaries in the appeals process; assists patients in choosing or changing their clinic and/or primary care provider; assists members in appointment access issues; assists members with billing issues; provides business staff with eligibility and benefit information.

  • Maintains working knowledge of the Plan (structure, benefits, and exclusions).

  • Assists with member orientation, as appropriate.

  • Assists, if requested in the design and content of written materials for publication.

  • Assists wiht maintenance of correct information on computer systems.

Required qualifications for this position include:

  • H.S. Diploma or GED

  • 2 years experience in healthcare field customer service position

Preferred qualifications for this position include:

  • Post-secondary education

  • 2 years experience in healthcare field customer service position in an HMO setting.

  • Medical claims processing experience.

About Pacific Medical Center:

Pacific Medical Center is an expanding network of outpatient clinics providing primary and specialty care to the greater Seattle area and employing more than 150 providers representing most medical specialties. Pacific Medical Centers is affiliated with Providence Health & Services, which operates 28 exceptional not-for-profit hospitals and more than 350 clinics across the West. With hundreds of physician and advanced practice provider opportunities in virtually all specialties at any given time, Pacific Medical Centers and Providence offer diverse locations, lifestyles and practice models. Find what you are looking for in your next practice opportunity with Pacific Medical Centers! Learn more at www.pacmed.org/providerjobs

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.

Requsition ID: P352245
Company: Pacific Medical Jobs
Job Category: Member Services Enrollment & Billing
Job Function: Health Plans Services
Schedule: Full time
Shift: Day
Career Track: Admin Support
Department: 3060 HOSPITAL DEDUCTIONS FROM REVENUE OR REGION
Address: WA Seattle 1310 S Judkins St

Pacific Medical Centers is proud to be an Equal Opportunity Employer. Providence does not discriminate 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.

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