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Career Opportunities: Customer Service Representative I - Bilingual (24771) Requisition ID 24771 - Posted 01/09/2025 - CareOregon - Full Time- Contingent (up to 9 months) - Portland - Multi Location (2) Job Description Print Preview Job Title Customer Service Representative I - Bilingual (Contingent) Exemption Status Non-Exempt Department Customer Experience Manager Title Customer Service Supervisor Direct Reports n/a Requisition # 24771 Pay & Benefits Estimated hiring range $37,610 - $45,970 / year, 3% Bilingual Differential, 5% bonus target, full benefits. www.careoregon.org/about-us/careers/benefits Posting Notes This is a fully remote 6- month Contingent position, but you must reside locally in the Portland Metro or SW Washington area. Working hours are Monday - Friday, 8am -5pm. Please note, in the future you may be asked to work outside these hours. General Statement of Duties The Customer Service Representative I is the initial point of contact for members of CareOregon and provides excellent customer service delivery relating to the Oregon Health Plan, Medicaid or Medicare, Group and Individual Medical, Dental and Mental Health. This entry level position typically focuses on member inquiries, but may assist with outbound calls. Essential Position Functions Customer Service Research, verify and resolve inquiries relating to Oregon Health Plan or Medicare eligibility with guidance from supervisory and leads. Respond and assist members with Primary Care Provider (PCP) assignments. Learn to collaborate with others inside and outside department to explain benefits not covered by Oregon Health Plan or Medicare and provide information on community resources when appropriate. Work collaboratively with providers, DMAP, or members to ensure effective customer service and the resolution of health plan problems (i.e., eligibility and system) as needed. Use online Call Tracking system to document all activities from any mode of communication from members, providers and other customers. Maintain confidentiality for all members. Coordinate mailing of member materials as needed. Treat all members with honesty, courtesy, dignity and respect. Provide members with professional, timely and competent service. Provide proactive, value added service by identifying and reporting system/technology issues. Consistently meet or exceed Department and Company standards and expectations including but not limited to quality, production and attendance. Outbound Calls/Projects May assist with outbound calls to Medicaid or Medicare members, which may include welcome and retention calls. Essential Department and Organizational Functions Propose and implement process improvements. Meet deadlines for completion of workload. Maintain agreed upon work schedule. Demonstrate cooperation and teamwork. Provide cross-training on specific job responsibilities. Meet identified business goals that contribute to departmental goals. Perform other duties as needed. Knowledge, Skills and Abilities Required Technical Ability to learn and apply Oregon Administrative Rules (OARs), Federal laws and other regulatory agencies that relate to the medical health insurance industry and the Medicaid or Medicare industry Strong computer application skills including MS Windows, Word, Excel and Outlook; comfort navigating through multiple documents and internet browsers Ability to type minimum 35 words per minute Communication Ability to speak English, as well as a second language relevant to the pop