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Customer Service Representative

Posted on May 26, 2022
OPEIU Local 8
Sea Mar Community Health Centers
Not disclosed
Vancouver, WA
Health insurance, Paid time off, Paid holidays, Dental insurance, Vision insurance, Retirement benefits, Life and disability insurance
Applications accepted until position filled

Position Summary:

Full-Time Customer Service Rep position available for our Managed Care Department located at our Fourth Plain Medical Clinic located in Vancouver. 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.

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 policy changes impacting consumers and or processes.
  • Performs any and all other duties as may be assigned while adhering to all corporate and departmental policies and procedures.
About the employer: Sea Mar Community Health Centers

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.

About your union: OPEIU Local 8

OPEIU Local 8 is a progressive, democratically run union working for social and economic justice since 1945. Local 8 represents more than 6,000 members all over Washington state working in many settings including offices, health and home care, housing, social services, the insurance industry, legal services and the public sector.


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