What are the responsibilities and job description for the Customer Care Specialist position at Umpqua Health Management LLC?
The Role :
As a Customer Care Specialist , you will play a vital role in ensuring our members receive the support they n eed. Y ou'll engage with members daily, answering inquiries about benefits, eligibility, and claims processing with empathy and accuracy. From assi sting with in-person visits to handling written and telephonic communicati ons, y ou'll be at the forefront of our commitment to providing proactive and responsive service. This role i sn't just about answ ering c alls it's about building relationships, advocating for our members, and contributing to their overall healthcare experience. Join us in making healthcare more accessible and compassionate for everyone we serve.
Your Impact :
- Assist members via various channels (in-person, phone, written) with inquiries about benefits, eligibility, and claims.
- Initiate outbound calls for welcome and retention, providing proactive service.
- Research and resolve member issues related to health plan eligibility and benefits with accuracy and empathy.
- Work closely with internal teams, providers, and regulatory bodies to ensure seamless service delivery.
- Maintain detailed records in our Call Tracking system and uphold confidentiality per HIPAA guidelines.
- Propose and implement process enhancements to elevate service quality and efficiency.
- Advocate for members by understanding their needs and concerns, and escalating issues appropriately to ensure prompt resolution and member satisfaction.
- Guide members through complex healthcare systems, explaining coverage details, and assisting with navigating healthcare resources and options.
- Demonstrate cultural sensitivity and understanding in interactions with members from diverse backgrounds, ensuring equitable service delivery and support.
- Perform other duties and support deliverables as assigned by the organization to help drive our Vision, fulfill our Mission, and abide by our Organizations Values.
Your Credentials :
