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Member Services Representative - USFHP

Providence
United Statesfull_timeVerifiedPosted 17 Jan 2025

About the role

Provides customer service to all members of US Family Health Plan at Pacific Medical Clinics. Uses automatic call distribution system (ACD) to interact with 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.

Providence caregivers are not simply valued – they’re invaluable. Join our team at Pacmed Clinics DBA Pacific Medical Centers 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.

Required Qualifications: 

  • 2 years of experience in healthcare field customer service position.

Preferred Qualifications:

  • Post secondary education.
  • 2 years of experience in healthcare field customer service position in an HMO setting.
  • Medical claims processing experience.

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 to advocate, educate and provide extraordinary care.

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.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.

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Providence

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