Member Services Representative II
Employment type
Full-time
Work setting
On-site
Location
Klamath Falls, OR
Schedule
Day shift
Posted
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Job overview
The Member Services Representative II role is onsite in Klamath Falls, OR. Compensation is not specified. The position supports Cascade Comprehensive Care’s Member Services department by assisting members and provider partners. The role resolves inquiries about benefits, authorizations, eligibility, claims, and coverage while maintaining accurate records and timely follow-up. It also helps sustain department standards through policy and workflow documentation, staff guidance and training, call escalation support, and member satisfaction review.
What you'll do
- Provide clear member benefit information
- assist members and providers with authorizations, assignments, eligibility, claim status, and coverage questions
- research inquiries and coordinate follow-up
- maintain department policies, procedures, workflows, and call scripts
- support and train staff
- handle first-level call escalations
- document calls and maintain accurate member information
- review member services notes and satisfaction survey results
- comply with HIPAA.
What we're looking for
- Skills & competencies
- member services representative iimember serviceshealthcare administrationmember benefitsclaims inquirieseligibilityauthorizationshipaaklamath falls orcascade comprehensive carestaff trainingcall escalations
- Work arrangement
- Weekend coverage required
Benefits & perks
- Competitive salary
- vacation
- medical, dental, and vision insurance
- 401(k) pension plan.
Why this role
Includes staff training and guidance, department process documentation, and first-level call escalation responsibilities.
About the employer
Cascade Comprehensive Care Inc is hiring for this role. Industry: All Other Miscellaneous Ambulatory Health Care Services. Sector: 62.
Additional details
- Industry sector
- 62
- Industry
- All Other Miscellaneous Ambulatory Health Care Services
- Occupation code
- 43-4051.00
You'll be redirected to the employer's application page.
Listing ID: d2e29e14-9fc9-42a1-af7c-a1675344bf76