Bilingual Customer Service Representative

Welcome and thank you for considering a career at Advanced Health!

We are searching for collaborative, innovative people committed to a shared community vision for health to join our team. If you value being part of a team that makes a difference, please consider joining our team!

• Paid Time Off (PTO), Sick leave, Health and life insurance, Flexible Spending- and Health Savings Account options, Tuition reimbursement, 401(k) and Roth retirement with generous employer match, and Profit-sharing

• Remote work options and Flexible scheduling

Every employee shares the responsibility for achieving the Quadruple Aim of health care reform: member engagement and satisfaction, improving quality of care, managing costs, and honoring diversity and equity
. By focusing on the people and communities we serve, we strive to ensure the dignity, privacy and confidentiality of members, their families, co-workers, and others. All duties are performed in compliance with organization’s policies and procedure, contractual obligations, and within federal and state laws and guideline including HIPAA, OSHA, and Waste Fraud and Abuse regulations.

Advanced Health, LLC team members are employed through Advanced Health and/or DOCS Management Services.

Location: Coos Bay, OR

Job :314

# of Openings:1

We are currently hiring a Bilingual
Healthcare Customer Service Representative
! If you are a great communicator, compassionate, enjoy a fast-paced work environment, and value being part of a team that makes a difference, you may be the right person for the position!

Classification: NON-EXEMPT |
Status &

Schedule:

FULL-TIME,30-40hrs/week, generally Monday – Friday, may include additional hours to meet the needs of the position
Location: ONSITE, this position reports to the Coos Bay Office location

Salary: $22.00 - 25.00$/HOURLY
Department: MEMBER SERVICES |
Reports to: CUSTOMER SERVICE MANAGER |
Supervision Exercised: NON-SUPERVISORY

Job Purpose:
Customer Service Representative

Responsible for providing member centered, culturally and linguistically responsive customer service while ensuring that health plan members receive accurate information and assistance accessing covered OHP benefits, including medical, behavioral health, dental, non-emergent medical transportation, and substance use disorder services. This position supports members and providers, responds to requests for coordinated care information, serves as a resource for staff, providers, and community partners, and helps members navigate services and address barriers to care.

Qualifications, Education, & Experience

• Minimum High School Diploma or GED;
  Associate degree in business administration preferred
• Minimum two years’ experience in a medical office, clinic or healthcare administration setting and two years’ experience in customer service-related position
• THW Certification preferred, or willing to obtain - Must reside in Oregon
• Bilingual proficiency in English and Spanish is required
• Talk with members and providers by phone or in person, handling inquiries in a prompt, courteous manner
• Greet people entering the building in a professional manner, determine nature and purpose of visit, and direct or call appropriate staff members to escort them to specific destinations
• Provide information to guests, members and the public, answer questions with discretion and tact
• Facilitate the resolution of complaints from customers, members, and/or the public, elevate to appropriate staff member(s) as necessary
• Act as a member advocate and liaison with providers and partners as needed to ensure members are connected to services
• Receive inquiries and route any issues to the appropriate person or department for resolution, responding in a timely manner and documenting the action taken
• Understand plan eligibility, benefit package and claims payment requirements
• Research, verify and resolve inquiries relating to Oregon Health Plan and Advanced Health eligibility
• Outreach members by phone to complete Health Risk Assessments
• Complete…