Bilingual Customer Service Representative

Location: Coos Bay, OR

Remote Status: On-Site

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.

• 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 tracking and status reports
• Use current technology and software to document all activities from any mode of communication from members, providers and other customers
• Assist with the preparation and mailing of letters, notices, member handbooks, flyers, etc. as directed
• Receive and send packages
• Compose, type and edit correspondence, reports, memoranda and other material as assigned
• Ensure that the lobby is clean and kept free from clutter; report if windows, floors, walls, furniture, etc. need cleaning or repair
• Assist with other related clerical and administrative duties as assigned
• Participate in quality and organizational process improvement activities and teams when requested
• Ensure compliance with company policies and procedures as applicable to area(s) of responsibility
• Handle confidential information and materials appropriately and maintain a secure work area
• Other duties as assigned
• In their trained language, facilitate clear, understandable and satisfactory…