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.