Customer Service Representative

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.

Duties and Responsibilities As a mission-driven organization, the core values of, and the services offered at Sea Mar are based on the belief that everyone deserves to be respectfully treated in a way that preserves dignity and enhances self-worth. Sea Mar is an advocate for its clients and aims to achieve industry leading, client-centered,culturally-aware services. Sea Mar employees serve as an extension of this mission and demonstrate their commitment to an excellent client experience by:
• Understanding and empathizing with client needs
• Surpassing client expectations
• Demonstrating a high level of integrity
• Exhibiting compassion and commitment
• Advocating for social justice
• Taking pride in individual work as well as that of the team
• Continually learning to stay current with industry standards, best practices and technology.

As a Sea Mar employee, the individual in this position commits to adherence to these values to their utmost ability and endeavors to strengthen and embody this mission daily.

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…