Job added in hotlist
Applied job
Contract job
Recruiter job
Employer job
Expanded search
Apply online not available
Similar Jobs
Customer Service Representative
Degremont Technologies Ltd
Boise, ID
Apply Now >
Mohawk Industries.
Boise, ID
Apply Now >
Now Hiring! - Customer Service in Service
Citigroup Inc
Boise, ID
Apply Now >
Customer Service Representative
Suez in North America
Boise, ID
Apply Now >
Customer Service Rep - Commercial
PacificSource Health Plans
Boise, ID
Apply Now >
View more jobs in Boise, ID
View more jobs in Idaho

Job Details

Customer Service Rep - Commercial - Boise

Company name
PacificSource Health Plans

Boise, ID

Apply for this job

2 hit(s)  


Provide excellent customer service primarily by telephone to all PacificSource customers. Assist customers with coverage/claims related questions.  Accurately interpret benefits and policy provisions for all PacificSource products. Conduct appropriate research and follow-up for prompt resolution of disputed claims.

Work efficiently in a high volume call center while maintaining a professional, polite manner.  
Assist callers with coverage related questions; accurately interpret policy provisions for group and individual business.
Analyze customer\u2019s inquiries and determine steps for resolution, interpret benefit information, and claims processing accuracy. Keep resource information up to date and organized.
Document calls in a clear and consistent manner in computer system.
Conduct appropriate research and follow-up for prompt resolution of disputed claims.
Relay information to appropriate departments and personnel using established communication channels and procedures. 
Supporting Responsibilities:
Meet department and company performance and attendance expectations.
Follow the PacificSource privacy policy and HIPAA laws and regulations concerningconfidentiality and security of protected health information.
Perform other duties as assigned. 
Work Experience: One year medical insurance, other healthcare related field or call center experience required. 
Education, Certificates, Licenses: High School Diploma or equivalent required.
Knowledge: Understand insurance and medical terminology, coding and standard medical billing practices.  Proficient computer skills, typing, and 10-key required. Medical terminology, CPT/ICD-9 coding preferred. 
Our Values

Building Customer Loyalty
Building Strategic Work Relationships
Continuous Improvement 
Building Trust 
Work Standards 

Contributing to Team Success
Planning and Organizing


We are committed to doing the right thing.
We are one team working toward a common goal.
We are each responsible for our customer's experience.
We practice open communication at all levels of the company to foster individual, team and company growth.
We actively participate in efforts to improve our many communities-internal and external.
We encourage creativity, innovation, continuous improvment and the pursuit of excellence.

Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately less than 5% of the time.
Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions.  Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.
Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
PacificSource is an equal opportunity employer.  All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, gender identity, age. 

Company info

PacificSource Health Plans
Website :

Company Profile
With an 83-year history and reputation for taking great care of people, PacificSource Health Plans delivers healthcare solutions to businesses and individuals throughout the Northwest. PacificSource is an independent, not-for-profit community health plan that values partnership, service excellence, community, and personal relationships. We offer employers a wide range of group medical, dental, prescription drug, and vision benefits. Learn more about our plans. We meet the needs of individuals and families with comprehensive individual health plans. Learn more about our plans. PacificSource coverage includes a wide range of no-cost extras designed to help you make the most of your health plan. Through our sister company, PacificSource Community Health Plans, we offer Medicare Advantage Plans under the name PacificSource Medicare. Through our sister company, PacificSource Community Solutions, we offer Medicaid plans. The PacificSource family of companies serves more than 275,000 individuals and 3,900 employer clients throughout the Northwest. We are based in Eugene, Oregon, with regional offices throughout Oregon, Idaho, Washington, and Montana. Learn more about our locations. Our provider network includes 46,300 participating healthcare practitioners and facilities in the Pacific Northwest. Through our subsidiaries, we provide third-party administration of self-funded employee benefit plans, flexible spending accounts, HRAs, and COBRA plans. Learn more about our subsidiary companies. Together, the PacificSource family of companies employs about 700 people in Oregon, Idaho, Washington, and Montana.

Similar Jobs:
Solutions Analyst\/Helpdesk
Location : Boise, ID
BOE is a locally recognized, wholly owned subsidiary of Xerox. We are currently looking to add a Customer Care Center Technical Representative to our team based in Boise, ID.\r\nThe Helpdesk and Solutions Analyst is a full-time po...
Job Description: DESCRIPTION **This position is remote and can be situation anywhere in the US** The FI Dealer Onboarding Representative primarily handles the account management and processing of New Dealer Onboarding, Dealer Info...
Customer Experience Team Leader
Location : Boise, ID
Description is the world\u2019s largest online sports nutrition retailer, offering its visitors over 12,000 products, over 25,000 articles, 9,000 plus videos and a robust social network with over 1.5 million ...
EmploymentCrossing is great because it brings all of the jobs to one site. You don't have to go all over the place to find jobs.
Kim Bennett - Iowa,
  • All we do is research jobs.
  • Our team of researchers, programmers, and analysts find you jobs from over 1,000 career pages and other sources
  • Our members get more interviews and jobs than people who use "public job boards"
Shoot for the moon. Even if you miss it, you will land among the stars.
CallCenterCrossing - #1 Job Aggregation and Private Job-Opening Research Service — The Most Quality Jobs Anywhere
CallCenterCrossing is the first job consolidation service in the employment industry to seek to include every job that exists in the world.
Copyright © 2018 CallCenterCrossing - All rights reserved. 168