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Member Services Representative II

Cascade Comprehensive Care Inc · Klamath Falls, OR · Member Services

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 ii
member services
healthcare administration
member benefits
claims inquiries
eligibility
authorizations
hipaa
klamath falls or
cascade comprehensive care
staff training
call 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
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