Bilingual Chinese Disenrollment Specialist

1 month ago


Orange, California, United States Alignment Healthcare USA, LLC Full time

Overview of the Role: Alignment Health is seeking a bilingual Chinese (Mandarin or Cantonese) passionate, attentive, and customer-service oriented disenrollment specialist to join the member retention team.October through December during Annual Enrollment Period (AEP)Serve as a "subject matter expert" in escalated member calls at risk of disenrollment and be able to resolve these escalations based on level of understanding/experience of healthcare, processes and protocols (i.e. authorizations, claims, provider network issues).Participate in team meetings and trainings, and exhibit satisfactory understanding of new information and process related to the company, health plan benefit packages, and Centers for Medicare and Medicaid Services (CMS) 13.Assist with the development and training of new hires including shadowing and nesting.Strong knowledge and understanding of the Medicare Managed Care Manual Chapter 2 - Medicare Advantage Enrollment and Disenrollment and Medicare Communications and Marketing Guidelines.Bilingual English and Spanish or Vietnamese, Chinese (Mandarin or Cantonese), Korean preferred.Experience helping members navigate access to care through Medicare Advantage or HMO, including referrals and authorizations, medical prescription drug, and supplemental benefits preferred.



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