Customer Service Representative

002 Sea Mar Community Health Center

United States

On-site

USD 42,000 - 54,000

Full time

3 days ago
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Job summary

Sea Mar Community Health Centers is hiring a Customer Service Representative to screen non-insured patients and help them access care in Washington State. This role focuses on public health coverage enrollment, insurance education, and case management under the Managed Care team.

Sea Mar is a mandatory COVID-19 and flu vaccine organization, and staff coordinate outreach, education, and patient support to ensure access to services.

Qualifications

  • Experience in healthcare or social services environment.
  • Ability to assist with public health coverage applications.
  • Strong communication and outreach skills.

Responsibilities

  • Serve as a primary liaison between clients and clinic, helping patients access Sea Mar as their medical home.
  • Assist with public health coverage program applications and primary care coordination.
  • Participate in outreach and promotional campaigns and distribute approved materials.
  • Maintain activity records and submit reports to the Managed Care Department.
  • Advocate for patients to overcome barriers to coverage and care utilization.
  • Support departmental goals and maximize access to Managed Care services.
  • Attend mandatory trainings and maintain required competencies.

Skills

Customer service
Communication skills
Outreach
Case management
Public health education

Job description

Sea Mar Community Health Centers, a Federally Qualified Health Center (FQHC) founded in 1978, is a community-based organization committed to providing quality, comprehensive health, human, housing, educational and cultural services to diverse communities, specializing in service to Latinos in Washington State. Sea Mar proudly serves all persons without regard to race, ethnicity, immigration status, gender, or sexual orientation, and regardless of ability to pay for services. Sea Mar's network of services includes more than 90 medical, dental, and behavioral health clinics and a wide variety of nutritional, social, and educational services. We are recruiting for the following position:

Sea Mar Community Health Centers, a Federally Qualified Health Center (FQHC) founded in 1978, is a community-based organization committed to providing quality, comprehensive health, human, housing, educational and cultural services to diverse communities, specializing in service to Latinos in Washington State. Sea Mar proudly serves all persons without regard to race, ethnicity, immigration status, gender, or sexual orientation, and regardless of ability to pay for services. Sea Mar's network of services includes more than 90 medical, dental, and behavioral health clinics and a wide variety of nutritional, social, and educational services. We are recruiting for the following position:

Sea Mar is a mandatory COVID-19 and flu vaccine organization

Sea Mar Community Health Centers, a Federally Qualified Health Center (FQHC) founded in 1978, is a community-based organization committed to providing quality, comprehensive health, human, housing, educational and cultural services to diverse communities, specializing in service to Latinos in Washington State. Sea Mar proudly serves all persons without regard to race, ethnicity, immigration status, gender, or sexual orientation, and regardless of ability to pay for services. Sea Mar's network of services includes more than 90 medical, dental, and behavioral health clinics and a wide variety of nutritional, social, and educational services. We are recruiting for the following position:

Sea Mar is a mandatory COVID-19 and flu vaccine organization

Position Summary:

The Customer Service Representative is responsible for screening all non-insured patients and ensuring that customers newly assigned or wishing to obtain care at Sea Mar are accommodated. They provide public health coverage enrollment assistance, insurance education, and public health coverage case management. Under the direction of the Managed Care Manager and Coordinator, they pro-actively contact customers, assist in the development and distribution of promotional material and engage in community outreach activities.

ESSENTIAL DUTIES and RESPONSIBILITIES:
  • Serves as a primary liaison between clients and clinic, focusing on alleviating barriers to service and helping patients establish Sea Mar as their medical home.
  • Assists with public health coverage program applications, ensures patients have selected a primary care provider, assists in scheduling appointments and identifying other health care services available.
  • Assists in conducting outreach and participates on all corporate marketing campaigns, and in the distribution of informational / promotional materials approved by the Managed Care Department.
  • Maintains activity records, submitting progress reports as directed by the Managed Care Department.
  • Assists in identifying and advocating on behalf of the customer regarding barriers to coverage and or the utilization of health care services.
  • Strives to increase customer health care service utilization, through education on services covered as well as customer responsibilities and to serve as case managers for families in accessing care.
  • Assists in meeting established departmental and organizational goals and ensuring that customer access to the Managed Care Department services are maximized.
  • Maintains skill levels by participating at all mandatory trainings, meeting competency testing requirements, maintaining local site standards, and reporting on health coverage policy changes impacting consumers and or processes.
  • Performs any and all other duties as may be assigned while adhering to all corporate and departmental policies and procedures.
CONDITIONS OF EMPLOYMENT:
  • Must sign an oath of permanent confidentiality covering all patient related information.
  • This person will undergo a criminal background check from the Washington State Patrol.
  • Applicant will sign and date the job description to affirm the validity of the information herein, and to signify compliance with the conditions of employment.
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