New Member Welcome Representative
New Member Welcome Representative
Primary Location Renton, Washington
Job Number 1069446
Date posted 08/23/2022
Description:
Help new members of all lines of business transfer their care to Kaiser Foundation Health Plan of Washington to provide outstanding support to the Consumer Experience team. By providing benefits, ensuring that members have access to the care they require by designating primary care physicians, making necessary appointment arrangements, and helping members transition their pharmacy items to an IGP or community pharmacy, new member welcome representatives will help members understand the plan they have purchased. Assist in resolving difficult care concerns for both internal and external clients by serving as a resource. Provide exceptional customer service while resolving grievances and inquiries in writing, in person, and over the phone to help with member retention.
Significant Duties:
-Help members who need to switch to the Kaiser Foundation Health Plan of Washington by working with Pre-Service, Pharmacy, and other departments as necessary.
-Make appointments with IGP doctors for primary care.
-React to complicated circumstances that Customer Service, Sales, Employer Groups, or Brokers have escalated.
-Offer level 1 fee ranges.
Read also employees expected conduct for this job
- Minimum two (2) years of insurance call center experience OR minimum one (1) year of experience in the health plan or delivery system (internal).
- High School Diploma or General Education Development (GED) required
- N/A
- Knowledge of medical terminology and advanced coding and Medicare training.
- Analytical, communication and problem solving skills.
- Computer skills.
- Ability to exercise discretion.
- Associate's degree in related field.