Customer Experience Specialist I – PRN - Care N’ Care Health Plan - PRN - Southwestern Health Resources - Southwestern Health Resources CIN
Pittston, PA 18640
About the Job
Customer Experience Specialist I - Care N' Care Health Plan - PRN
Care N 'Care Health Plan is looking for top skilled Customer Experience Specialist. Is that you?
Southwestern Health Resources (SWHR) is a patient-centered, clinically integrated network of 31 hospital locations and more than 7000 physicians and clinicians caring for more than 790,000 patients across 16 counties in North Texas. Blending the strengths of Texas Health Resources and the University of Texas Southwestern Medical Center, SWHR offers an unmatched ability to connect individuals with a full spectrum of nationally preeminent, clinical care. SWHR is the parent of Care N' Care Insurance Co., a leading regional Medicare Advantage health plan that serves North Texas seniors.
At SWHR, we believe healthcare can be more integrated, accessible and affordable for all. Our purpose: to build a better way to care, together. Our promise: to simplify and empower care, for good.
EducationH.S. Diploma or Equivalent Req
Bachelor's Degree PrefExperience2 Years Customer Service, sales or account management experience in Medicare, Medicare Advantage, or other applicable health plan experience and be comfortable familiar with PPO's and HMO's, Employer Group and potentially Commercial insurance. Pref and
2 Years Multi-functional high volume customer interaction handling experience PrefSkills Must be a fast learner and ability to multitask between multiple systems to complete required 90 day training program.
Thorough knowledge of CMS guidelines processes and systems
Excellent problem solving and organizational skills as well as strong interpersonal communication skills
Must possess strong oral and written communication skills, both in person and telephonically.
Must possess planning and problem-solving sills, and be skilled in diplomacy regarding de-escalation and call control.
Ability to work on special projects independently or as a team
Excellent knowledge of Microsoft Office suite of productsSupervisionIndividual ContributorADA RequirementsExtreme Heat 1-33%
Extreme Cold 1-33%
Extreme Swings in Temperature 1-33%
Extreme Noise 1-33%
Working Outdoors 1-33%
Working Indoors 67% or more
Mechanical Hazards 1-33%
Electrical Hazards 1-33%
Explosive Hazards 1-33%
Fume/Odor Hazards 1-33%
Dust/Mites Hazards 1-33%
Chemical Hazards 1-33%
Toxic Waste Hazards 1-33%
Radiation Hazards 1-33%
Wet Hazards 1-33%
Heights 1-33%
Other Conditions 1-33%Physical DemandsSedentary
Care N 'Care Health Plan is looking for top skilled Customer Experience Specialist. Is that you?
Work location: Southwestern Health Resources Headquarters, 1601/1603 Lyndon B. Johnson Freeway, Farmers Branch, TX 75234.
Work environment: Care N' Care Health Plan Department.
Please note: The Customer Experience Specialist I will be an employee of Southwestern Health Resources (SWHR). SWHR is a clinically integrated network formed by Texas Health Resources (THR) and University of Texas Southwestern Medical Center (UTSW).
Work hours:
- PRN.
- This is a Hybrid position, requiring occasional onsite workdays based on department business needs.
- In-person attendance required at department meetings, trainings and/or other department authorized activities, at the above-mentioned address or other locations as directed by the department management.
Southwestern Health Resources (SWHR) is a patient-centered, clinically integrated network of 31 hospital locations and more than 7000 physicians and clinicians caring for more than 790,000 patients across 16 counties in North Texas. Blending the strengths of Texas Health Resources and the University of Texas Southwestern Medical Center, SWHR offers an unmatched ability to connect individuals with a full spectrum of nationally preeminent, clinical care. SWHR is the parent of Care N' Care Insurance Co., a leading regional Medicare Advantage health plan that serves North Texas seniors.
At SWHR, we believe healthcare can be more integrated, accessible and affordable for all. Our purpose: to build a better way to care, together. Our promise: to simplify and empower care, for good.
EducationH.S. Diploma or Equivalent Req
Bachelor's Degree PrefExperience2 Years Customer Service, sales or account management experience in Medicare, Medicare Advantage, or other applicable health plan experience and be comfortable familiar with PPO's and HMO's, Employer Group and potentially Commercial insurance. Pref and
2 Years Multi-functional high volume customer interaction handling experience PrefSkills Must be a fast learner and ability to multitask between multiple systems to complete required 90 day training program.
Thorough knowledge of CMS guidelines processes and systems
Excellent problem solving and organizational skills as well as strong interpersonal communication skills
Must possess strong oral and written communication skills, both in person and telephonically.
Must possess planning and problem-solving sills, and be skilled in diplomacy regarding de-escalation and call control.
Ability to work on special projects independently or as a team
Excellent knowledge of Microsoft Office suite of productsSupervisionIndividual ContributorADA RequirementsExtreme Heat 1-33%
Extreme Cold 1-33%
Extreme Swings in Temperature 1-33%
Extreme Noise 1-33%
Working Outdoors 1-33%
Working Indoors 67% or more
Mechanical Hazards 1-33%
Electrical Hazards 1-33%
Explosive Hazards 1-33%
Fume/Odor Hazards 1-33%
Dust/Mites Hazards 1-33%
Chemical Hazards 1-33%
Toxic Waste Hazards 1-33%
Radiation Hazards 1-33%
Wet Hazards 1-33%
Heights 1-33%
Other Conditions 1-33%Physical DemandsSedentary
Source : Southwestern Health Resources CIN