Customer Service Representative

Position Summary :

Full-Time Customer Service Rep position available for our Managed Care Department located at our Bellevue Medical Clinic.

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 Director and Regional 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

The Customer Service Representative :

• 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.
• Is responsible for maintaining 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.

Education and / or Experience :

• High School graduation; AA or BA in Social Services is preferred.
• At least 1 year of customer service experience is required; preferably in a health care environment. Additional work experience may be substituted for education, with a minimum of a high school diploma or equivalent required.
• The applicant must be able to interpret a variety of instructions furnished in written, oral, diagram or schedule form.
• This position must obtain Basic Life Support (BLS) CPR within 90 days of hire date and is required to maintain current BLS CPR throughout employment.
• Bilingual in English / Spanish preferred.

What We Offer :

Sea Mar offers talented and motivated people the opportunity to work in a dynamic and growing community health organization.

Working at Sea Mar Community Health Centers is more than just a job, it’s a fulfilling career with opportunity for advancement.

The fringe benefits surpass most companies. For example, Full-time employees working 30 hours or more, receive an excellent benefit package of :

• Medical
• Dental
• Vision
• Prescription coverage
• Life Insurance
• Long Term Disability
• EAP (Employee Assistance Program)
• Paid-time-off starting at 24 days per year + 10 paid Holidays.

We also offer 401(k) / Retirement options and an exciting opportunity to work in a culturally diverse environment.