Customer Service Specialist

Peninsula Community Health Service sis an Equal Opportunity Employer. To read more about this, you can view the EEOC"
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The Customer Service Specialists responsible for a variety of duties, including enrollment, eligibility, and patient engagement. This position will help guide patients through the insurance process and assist in problem solving for various payers including insurance, HMO, Medicaid, Medicare and private pay.

• Educate clients about Medicaid, Medicare, and other financial assistance programs, and assist with responding to questions and inquiries
• Interact with patients, caregivers, visitors and agencies to answer questions, obtain information and resolve issues
• Assist patients with making appointments for care, test or needed treatment
• Participate in customer service initiatives
• Assist and provide resources for patients with additional services available, such as Medicare Fraud Classes
• Help patients log into the Medicare.gov site to update primary care information and check for Medicare fraud.
• Participate in insurance campaigns to include patients at transitions in life such as aging into Medicaid, aging off parent’s coverage, patients eligible for low‑income subsidies, etc.
• Work with the Managed Care Coordinator to assist with patients on gap list
• Familiar with using electronic health record (Ex. Athena and Next Gen)
• Other duties as assigned

This position has no direct reports.

• One (1) year of customer service experience (preferred)

Starting Pay Range $17.48 - $21.40 *
* Taking into account education and experience related to the position

Must have excellent communication skills. Ability to work independently and as part of a team; to receive and respond well to feedback. Possess strong interpersonal and problem‑solving skills; time‑management and organizational skills, including being punctual, responsive, and efficient. Perform job with professionalism and good judgment.

With multiple locations and settings, PCHS’ work environment and physical demands vary greatly depending on the employee’s role. Essential job functions include the following:
The employee is required to talk, hear, see, smell, sit and stand. The employee is frequently required to move around the facility; reach with hands and arms; climb or balance and stoop, kneel, crouch, or crawl. The employee is frequently required to lift and/or move up to 40 pounds. Employees may be exposed to mechanical parts and moderate noise levels.

The employee must possess a personal cell phone and maintain active service to facilitate secure access to workplace systems and applications via multi‑factor authentication. Reasonable accommodations may be available to individuals with disabilities to perform their essential job functions.

Peninsula Community Health Services is an equal opportunity/Affirmative Action employer and does not exclude persons from employment or application for employment from receipt of or participation in programs, activities, services on the grounds of race, color, sex, national origin, age, military status, marital status, religion, the presence of a physical, mental, or sensory disability, sexual orientation, gender identity, genetic information, victim of domestic violence, sexual assault or stalking, or any other characteristic protected by federal, state or local law.

Join Peninsula Community Health Services (PCHS) in making a difference in people's lives and the surrounding community every day. PCHS exemplifies a culture of community service that is Patient Driven,…