15 days old

Customer Service Specialist I

Kaiser Permanente
Renton, WA 98057
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.

Essential Responsibilities:
  • Responds to health plan, delivery system, and governance inquiries and complaints in writing and over the telephone.
  • Researches issues. Interact with other departments, physicians or administrators as needed. Resolve or escalate when appropriate.
  • Identify errors and determine what corrective steps need to be taken to resolve.
  • Interpret and apply all benefits according to appropriate contract.
  • Document all interactions in contract tracking system according to regulatory guidelines.
  • Categories

    Posted: 2019-10-02 Expires: 2019-11-01

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    Customer Service Specialist I

    Kaiser Permanente
    Renton, WA 98057

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