Customer Service Rep Associate
Corewell Health · Tulsa, OK
Job description
Job Summary Inbound call center to assist and educate members, employer groups, providers, colleagues, and/or agents of health plan benefits with accessing services, facilitating and resolving problems, understanding claims, billing and coding, along with other questions. Consistently create an exceptional experience with each contact, via inbound and outbound calls, face-to-face interactions, online chat, email, etc. Essential Functions • Analyzes, evaluates, resolves and responds to service inquires from members, providers, employer groups, colleagues, agents, Elite agents (customers), and others within departmental guidelines. Professional and pleasant interactions are ongoing expectations. • Partnering with internal and external resources, promptly provides customers with information and education concerning benefit clarification, eligibility requirements, verification, authorization, billing and claim status. • Promptly identifies and resolves or escalates customer concerns or complaints to achieve positive outcomes. Places outbound welcome calls to members to educate them on their benefits as needed. Assists walk-in members and agents if assigned by leadership. • Adheres to established procedure and quality guidelines in support of Priority Health service promise, key drivers, performance indicators, as well as Corporate values and codes of excellence. Identifies potential trends or issues that impact health plan members and works with coworkers and leadership resources to suggest process improvements. • Assists members with administrative issues, such as submitting enrollment record changes, providing letter explaining coverage or benefits, and obtaining and relaying certain member information to other departments as needed. • Facilitates claims resolution through follow-up on member calls and correspondence received to appropriate departments. • Effectively tracks and/or documents all service interactions with customers within appropriate systems according to guidelines. • Develops and maintains behaviors of productivity, availability to customers, and adherence to work schedule. • Actively participates in safety initiatives and risk mitigating measures where appropriate and completes all position and unit safety related competencies and requirements on a timely basis. • Performs other duties as assigned. Qualifications Required • High School Diploma or equivalent • 1 years of relevant experience customer-facing service on phone or face to face; customer service, high volume call center, medical billing, insurance environment relevant to benefits, provider contracting, claims processing, and/or managed health care Preferred • Associate's degree About Corewell Health As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence. How Corewell Health cares for you • Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here. • On-demand pay program powered by Payactiv • Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more! • Optional identity theft protection, home and auto insurance • Traditional and Roth retirement options with service contribution and match savings • Eligibility for benefits is determined by employment type and status Primary Location SITE - 1700 Magnavox Way Suite 201 - Fort Wayne Department Name Physicians Health Plan of Northern Indiana Admin - PH Managed Benefits Employment Type Full time Shift Day (United States of America) Weekly Scheduled Hours 40 Hours of Work 8 a.m. to 5 p.m. Days Worked Monday to Friday Weekend Frequency N/A CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only. Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief. Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category. An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team. You may request assistance in completing the application process by calling 616.486.7447.
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Elara Caring is seeking a Social Work Social Worker for a job in Tulsa, Oklahoma. Job Description & Requirements • Specialty: Social Worker • Discipline: Social Work • Duration: Ongoing • Employment Type: Staff At Elara Caring, we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here, each employee has the chance to make a real difference by carrying out our mission every day. Join our elite team of healthcare professionals, providing the Right Care, at the Right Time, in the Right Place. Job Description: Medical Social Worker - Hospice At Elara Caring, we care where you are and believe the best place for your care is where you live. We know there's no place like home, and that's why our teams continue to provide high-quality care to more than 60,000 patients each day in their preferred home setting. Wherever our patients call home and wherever they are on their journey of health, we care. Each team member has a part to play in this mission. This means you have countless ways to make a difference as a Medical Social Worker (MSW). Being a part of something this great starts by carrying out our mission every day through your true calling: developing an amazing team of compassionate and dedicated healthcare providers. To continue to be an industry pioneer in delivering unparalleled care, we need a Medical Social Worker with commitment and compassion. Are you one of them? If so, apply today! Why Join the Elara Caring mission? • Work in a collaborative environment. • Be rewarded with a unique opportunity to make a difference • Competitive compensation package • Tuition reimbursement for full-time staff and continuing education opportunities for all employees at no cost • Opportunities for advancement • Comprehensive insurance plans for medical, dental, and vision benefits • 401(K) with employer match • Paid time off, paid holidays, family, and pet bereavement As a Medical Social Worker (MSW), you'll contribute to our success in the following ways: • Ensures that all activities are performed aligned with the vision of Elara Caring's board of directors, executive team, and the leadership of the Home Health team. • Assesses patients to identify the psychosocial, financial, and environmental needs of patients as evidenced by documentation, clinical records, case conferences, team report, call-in logs, and on-site evaluations. • Make the initial social work evaluation visit and reevaluate the patient's social work needs during each following visit. • Communicates significant findings, problems, and changes in condition or environment to the Supervisor, the physician and/or other personnel involved with patient care. • Reports unsafe conditions and the outcome of each visit to the appropriate Supervisor by the end of the day. • Implements the plan for patient safety, using patient, family, and community resources. • Participates in implementation and development of the Plan of Care to ensure quality and continuity of care and proper discharge planning. • Verifies the Plan of Care prior to each visit and provides care according to physician's orders, assessment data, and established standards and guidelines. • Initiates and revises the Plan of Care in response to identified patient care issues. • Writes physician orders to cover additional visits and changes to the plan of care, per agency policy. • Incorporates patient care goals established in the plan of care, as evidenced by documentation in clinical note. • Performs appropriate skilled services/interventions in accordance with accepted standards of practice and certified by the patient's physician. • Counsels, instructs, and includes the patient and family in following the Plan of Care and meeting social work-related needs. What is Required? • Master's Degree or Doctoral Degree in Social Work from a school of Social Work accredited by the Council of Social Work Education • 1+ year of social work experience in a healthcare setting. • Current State License as a Social Worker • Excellent verbal and written communication skills • Social work skills as defined as general social work standards • 50% travel required • Ability to frequently lift, push, pull, and support up to 50 pounds, including positioning or transferring patients and moving equipment • Valid driver's license and insurance and reliable transportation to perform job tasks You will report to the Clinical Team Manager. Equal Employment Opportunity: We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. If you require assistance due to a disability in the application or recruitment process, please submit a request via email at . Pay & Benefit Information: Compensation for this role will be determined based on a variety of factors, including qualifications, skills, competencies, and relevant experience. Elara offers a broad range of benefits. Learn more at Elara Caring participates in E-Verify after a job offer is accepted and Form I-9 completed. Elara Caring Job ID #JR-137420. Posted job title: Medical Social Worker About Elara Caring Elara Caring is one of the nation's leading providers of home-based care with a growing footprint of 26,000 caregivers and 60,000 patients in 18 states. Whether you are new to home-based care or a seasoned in-home care professional, Elara Caring will meet you where you are and develop a unique learning plan that recognizes your experience and invests in your clinical professional journey. From our preceptor program to certification prep courses, quality assessments or management training, we care about you and your success.
Remote Remote Customer Service Specialist
Forgefit · Tulsa, OK
As a Customer Service Specialist, you’ll be the voice of ForgeFit, ensuring our customers have a smooth and positive experience from order to installation and beyond. Remote Customer Service Specialist. Respond to customer inquiries via phone, email, and chat with professionalism and care.
Store Delivery Driver
Genuine Parts · Tulsa, OK
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