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Member Services Representive - Uniformed Services Family Health Plan

Providence Health & Services


Location:
Seattle, WA 98194
Date:
05/14/2020
2020-05-142020-06-13
Categories:
  • Customer Service
  • Healthcare
Providence Health & Services
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Job Details

**Description:**
**Find what youre looking for in your career, at PacMed as a US Family Health Plan (USFHP) Member Services Representative in Seattle, WA.**
_We are seeking a USFHP Member Services Representative to be responsible for providing benefit, enrollment, and eligibility information to our members and network partners._
US Family Health Plan, a Department of Defense-sponsored health plan, is made available by non-profit health care providers in six designated service areas across the country, and offers the TRICARE Prime benefit to uniformed services beneficiaries residing in those service areas.
**In this position you will:**
+ Research plan benefits and inform members of coverage details
+ Accurately record and track interactions with beneficiaries and providers
+ Interact with members and providers to answer inquiries regarding benefits, referral or claims statuses
+ Assist members and providers with our complaint and grievance process
+ Guide beneficiaries through the appeals process
+ Assist members with billing or appointment access issues
**Qualifications:**
**Required qualifications for this position include:**
+ High School diploma, GED or equivalent required.
+ Two years of health care customer service experience
**Preferred qualifications for this position include:**
+ Post-secondary education
+ Knowledge of TRICARE benefits
+ Knowledge of health care delivery and health insurance issues
+ Highly developed customer service phone skills
**US Family Health Plan Mission Statement**
+ **To provide quality health care for uniformed services family members, retirees and their family members.**
+ **To have well cared for and extremely satisfied members.**
+ **To demonstrate quality, value, and operational effectiveness to a growing enrollee population.**
+ **To continue as an integral and respected health care partner in the Military Health System of the Department of Defense (DoD).**
**About Pacific Medical Center:**
Pacific Medical Center is an expanding network of outpatient clinics providing primary and specialty care to the greater Seattle area and employing more than 150 providers representing most medical specialties. Pacific Medical Centers is affiliated with Providence Health & Services, which operates 28 exceptional not-for-profit hospitals and more than 350 clinics across the West. With hundreds of physician and advanced practice provider opportunities in virtually all specialties at any given time, Pacific Medical Centers and Providence offer diverse locations, lifestyles and practice models. Find what you are looking for in your next practice opportunity with Pacific Medical Centers! Learn more at www.pacmed.org/providerjobs
**We offer a full comprehensive range of benefits see our website for details **
http://pacmed.jobs/benefits/
**Our Mission**
Our mission is to provide respectful, high-quality, patient-focused healthcare to each person and to the communities we serve.
**About Us**
Quality and respect. These are the words Pacific Medical Centers (PacMed) employees live and work by. PacMed is a private, not-for-profit, primary and integrated multispecialty health care network with 10 outpatient clinics across the Puget Sound region and more than 175 primary and specialty care providers. Affiliated with the Providence Health & Services system, PacMed provides patient-focused health care and even same-day appointments to patients in King, Snohomish and Pierce counties. We provide immediate access to cutting-edge technology, first-class facilities and board-certified specialists, many of whom have been listed as among Seattles Best Doctors.
Pacific Medical Centers, PacMed, and their Affiliates' (collectively PacMed) comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. PacMed does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
**Schedule:** Full-time
**Shift:** Day
**Job Category:** Project & Program Coordination (Non-Clinical)
**Location:** Washington-Seattle
**Req ID:** 257272
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