Customer Care Specialist - Bilingual English/Spanish, Geisinger Health Plan (work from home Pennsylvania resident)
Location: Danville, Pennsylvania
Type: Full Time
Internal Number: R-38555
The Customer Care Specialist is the main point of contact a customer makes with the health plan. Provides exceptional customer service to customers by answering questions and/or resolving concerns through appropriate education, information, and follow-up. Ensures customer satisfaction and a positive experience. The Customer Care Specialist will be a subject matter expert in one or more of the health plan lines of business.
Provides customers with knowledge of plans, products, systems, and processes to resolve customer issues/concerns.
Serves as primary contact for customers.
Maintains strong relationships with customers through telephone contact, written correspondence, electronic messaging and onsite visits.
Investigates all concerns/issues to assure accurate information is provided in a timely manner.
Provides resolution for all customer concerns and inquiries.
Communicates and coordinates with the appropriate internal departments to resolve customer concerns.
Documents and codes accurately all inquiries/concerns.
Provides customers with the complaint/appeal and grievance process. Documents complaint/appeal and grievances and forwards to the appropriate team for processing.
Completes outbound calls to customers to resolve complex benefit, eligibility, premium, pharmacy, claims or other related issues.
Cross-trains in areas outside of primary line of business.
Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
REQUIRED: Bilingual English/Spanish
High School Diploma or Equivalent (GED)- (Required)
Minimum of 1 year-Related work experience (Required), Minimum of 1 year-Customer Service (Required)
Certification(s) and License(s)
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.
We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.
At Geisinger, our innovative ideas are inspired by the communities we serve – like our Fresh FoodFarmacy, a program that delivers life-saving healthy alternatives to patients with diabetes. With additional tools like our MyCode Community Health Initiative, one of the first health system genome sequencingprograms, and our new asthma app suite that we developed in partnership with AstraZeneca, it’s no wonder we’re ranked one of the Top 5 Most Innovative Healthcare Systems by Becker's Hospital Review. We continually work towards continuous improvement in a culture where everyone has a voice and firmly believe that better begins with all of us.Founded more than 100 years ago, Geisinger serves more than three million residents throughout central, south-central and northeastern Pennsylvania and southern New Jersey. Our physician-led system is comprised of 30,000 employees, including 1,600 employed physicians, and consists of 1...3 hospital campuses, the Geisinger Health Plan, Geisinger Commonwealth School of Medicine and two research centers. What you do at Geisinger shapes the future of health and improves lives – for our patients, communities, and you.