Healthcare Customer Service Representative - Community Health Worker

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.

Position:Healthcare Customer Service Representative - Community Health Worker

Location: Coos Bay, OR

Job :319

# of Openings:1

We are currently hiring a
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, MONDAY – FRIDAY, 8AM – 5PM
Location:ONSITE, this position reports to the Coos Bay Office location

Salary: $18.54 - 25.75$/HOURLY

Department: MEMBER SERVICES |
Reports to: CUSTOMER SERVICE MANAGER |
Supervision Exercised: NON-SUPERVISORY

Job Purpose:
Customer Service Representative

Responsible for maintaining a customer-oriented approach while ensuring that designated health plan members receive information and direction for covered OHP benefits including medical, behavioral, dental, non-emergent transportation and substance use care and support necessary to meet their needs. This position provides support to health plan members and providers; serves as a resource for staff and community medical personnel and responds to requests for coordinated care information.

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 preferred, qualified, certified, or willing to obtain
• Talk with members and providers by phone or in person, handling inquires in a prompt, courteous manner
• Greet persons entering the building in a professional manner, determine nature and purpose of visit, and direct or call appropriate staff member 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…