Member Experience Representative Bilingual Vietnamese

1 month ago

Houston, United States VERDA HEALTHCARE, INC. Full time
Job DescriptionJob Description
Verda Healthcare, Inc has a contract with the Center of Medicaid and Medicare Services (CMS) and Texas Department of Insurance for a Medicare Advantage Prescription Drug (MAPD) plan for 2024. We are looking for a Member Experience Representative Bilingual Vietnamese to join our growing company with many internal opportunities.

Are you ready to join a company that is changing the face of health care across the nation? Verda Healthcare, Inc is looking for people like you who value excellence, integrity, caring and innovation. As an employee, youll join a team dedicated to improving the lives of our Medicare members. Our vision incorporates value-based health care that works. We value diversity.

Align your career goals with Verda Healthcare, Inc and we will support you all the way.

Job Description
Provide quality customer service. Educates members, family, providers and caregivers regarding benefits and plan options.
Accurately explains benefits and plan options in person, via email or telephonically.
Provides follow-up with members by clarifying the customers issue, determining the cause, and identifying and explaining the solution. Escalates appropriate member issues to management or other departments as required.
Consistently meets and/or exceeds the departmental standards, including quality, productivity, and adherence to schedule and attendance.
Responds appropriately and in a timely fashion to member/internal staff/providers by answering telephonic and written inquiries concerning benefits, eligibility, referrals, claims and all other issues following departmental policies and procedures and job aids. Takes ownership of the issue, focusing on providing solutions and options for members, as necessary through resolution of member issue.
Increases member satisfaction by following up and resolving member issues, complaints, and questions in an efficient, timely and accurate fashion; coordinates resolution with providers and other departments as needed.
Participates in member calling projects as assigned by management to support the overall Verda Health Plan goal of membership retention.
Follows policies and procedures and job aids to maintain efficient and complaint operations; communicates suggestions for improvement and efficiencies to management; identifies and reports problems with workflows following proper departmental procedures; actively participates in departmental staff meetings and training sessions.
Follows all appropriate Federal and State regulatory requirements and guidelines applicable to Verda Health Plan operations, as documented in company policies and procedures. Follows all HIPAA requirements.
Documents transactions by completing applicable member forms and summarizing actions taken in appropriate computer system and following standards set by the department or by other authorized individuals.
Proactively engages and collaborates with other departments as required.
Demonstrates personal responsibility and accountability by meeting attendance and schedule adherence expectations.
Achieves individual performance goals established for this position in call quality, attendance, schedule adherence, and individual performance goals relating to call center objectives.

Minimum Qualifications
Required: High School diploma or equivalent required.
Bilingual and fluent in English AND Vietnamese
1-2 years call center or related customer service experience required.
1-2 years of prior experience with Medica
re benefits, including Medicare Advantage Plans
Experience in the healthcare, insurance, or pharmacy industry is highly desirable.
Ability to maintain calm demeanor, including during charged situations.
Data entry and general computer skills required.
Effective communication (oral and written) skills. Professional /pleasant telephone manner required.
Professional /pleasant telephone manner required.
Ability to handle large call volume, while always providing excellent customer service
Demonstrated efficiency/effectiveness is an environment with a high call volume.

Professional Competencies
Integrity and Trust
Customer Focus
Functional/Technical Skills
Written/Oral Communications
Critical/Analytical Thinker

Verda cares deeply about the future, growth, and well-being of its employees. Join our team today

Job Type: Full-time (Full Time Weekend rotation. Schedule to be determined)

Benefits:
401(k)
Dental Insurance
Health insurance
Life insurance
Paid time off.
Vision insurance

Ability to commute/relocate:
Reliably commute or planning to relocate before starting work (Required)

PHYSICAL DEMANDS

Regularly sit/walk at a workstation in an office or cubicle setting. Must occasionally lift and/or move up to 25-50 pounds.

*Other duties may be assigned in support of departmental goals.

  • Bilingual Vietnamese Member Support Specialist

    1 week ago

    Houston, Texas, United States VERDA HEALTHCARE, INC. Full time

    Job OverviewVerda Healthcare, Inc. is engaged in a partnership with the Center of Medicaid and Medicare Services (CMS) and the Texas Department of Insurance for a Medicare Advantage Prescription Drug (MAPD) plan. We are seeking a Bilingual Vietnamese Member Experience Representative to enhance our dedicated team, offering numerous internal growth...

  • Bilingual Vietnamese Member Support Specialist

    1 week ago

    Houston, Texas, United States VERDA HEALTHCARE, INC. Full time

    Position OverviewVerda Healthcare, Inc. is collaborating with the Center of Medicaid and Medicare Services (CMS) and the Texas Department of Insurance to provide a Medicare Advantage Prescription Drug (MAPD) plan. We are seeking a Bilingual Vietnamese Member Experience Representative to enhance our dynamic team, which offers numerous internal growth...

  • Bilingual Member Support Specialist

    2 weeks ago

    Houston, Texas, United States VERDA HEALTHCARE, INC. Full time

    Position OverviewVerda Healthcare, Inc. is seeking a dedicated Bilingual Member Support Specialist - Vietnamese to enhance our team and contribute to our mission of transforming healthcare services. Join us in our commitment to excellence, integrity, and innovation as we serve our Medicare members.Key ResponsibilitiesDeliver exceptional customer service by...

  • Bilingual Vietnamese Member Support Specialist

    1 week ago

    Houston, Texas, United States VERDA HEALTHCARE, INC. Full time

    Position OverviewVerda Healthcare, Inc. is seeking a dedicated Bilingual Vietnamese Member Support Specialist to enhance our customer service team. Our organization collaborates with the Center of Medicaid and Medicare Services (CMS) and the Texas Department of Insurance to provide a Medicare Advantage Prescription Drug (MAPD) plan.We are committed to...

  • Bilingual Customer Service

    4 months ago

    Houston, United States Steven Sipes - State Farm Agency Full time

    Job DescriptionJob Description Steven Sipes - State Farm Agency, located in Houston, TX has an immediate opening for a Bilingual (Vietnamese/English) Insurance Account Manager. Insurance experience is not required as we will train the right person with the right personality and skill set! We seek an energetic professional interested in helping our business...

  • Bilingual Customer Service Rep

    1 month ago

    Houston, United States Ken Quach - State Farm Agency Full time

    Job DescriptionJob DescriptionSuccessful State Farm Agent is seeking a qualified professional to join their winning team for the role of Bilingual Customer Service Representative - State Farm Agent Team Member (Vietnamese/English). We seek an energetic professional interested in helping our business grow through value-based conversations and remarkable...

  • Bilingual Customer Service Rep

    3 months ago

    Houston, United States Ken Quach - State Farm Agency Full time

    Job DescriptionJob DescriptionSuccessful State Farm Agent is seeking a qualified professional to join their winning team for the role of Bilingual Customer Service Representative - State Farm Agent Team Member (Vietnamese/English). We seek an energetic professional interested in helping our business grow through value-based conversations and remarkable...

  • Member Experience Representative

    3 months ago

    Houston, United States VERDA HEALTHCARE, INC. Full time

    Job DescriptionJob DescriptionBenefits:401(k)Dental insuranceHealth insuranceOpportunity for advancementPaid time offVision insuranceVerda Healthcare, Inc has a contract with the Center of Medicaid and Medicare Services (CMS) and Texas Department of Insurance for a Medicare Advantage Prescription Drug (MAPD) plan for 2024. We are looking for a Member...

  • TeleSales and Retention Representative Bilingual

    3 days ago

    Houston, Texas, United States VERDA HEALTHCARE, INC. Full time

    Job SummaryVerda Healthcare, Inc. is seeking a highly skilled TeleSales and Retention Representative Bilingual to join our team. As a key member of our sales and customer service team, you will be responsible for selling and promoting our Medicare insurance products to customers over the phone.Key ResponsibilitiesSales and Customer Service: Provide...

  • Bilingual Customer Service Representative

    4 days ago

    Houston, Texas, United States Ken Quach - State Farm Agency Full time

    Job OverviewWe are seeking a highly motivated and customer-focused individual to join our team as a Bilingual Customer Service Representative. As a key member of our State Farm Agency, you will play a vital role in providing exceptional service to our clients and helping us achieve our business goals.Key ResponsibilitiesEstablish and maintain strong...

  • TeleSales and Retention Representative

    1 month ago

    Houston, United States VERDA HEALTHCARE, INC. Full time

    Job DescriptionJob Description Verda Healthcare, Inc has a contract with the Center of Medicaid and Medicare Services (CMS) and Texas Department of Insurance for a Medicare Advantage Prescription Drug (MAPD) plan for 2024. We are looking for a TeleSales and Retention Representative – Bilingual (Spanish, Vietnamese, or Chinese) to join our growing company...

  • Bilingual Customer Service Representative

    5 days ago

    Houston, Texas, United States NTI Full time

    About the RoleWe are seeking a highly motivated and empathetic individual to join our team as a Bilingual Customer Service Representative. As a key member of our customer support team, you will play a vital role in ensuring the success of our business by providing exceptional service to our clients.Key ResponsibilitiesCustomer Support: Respond to customer...

  • TeleSales and Retention Representative

    3 days ago

    Houston, Texas, United States VERDA HEALTHCARE, INC. Full time

    Job SummaryWe are seeking a highly skilled and bilingual TeleSales and Retention Representative to join our team at Verda Healthcare, Inc. As a key member of our sales and customer service team, you will be responsible for selling Medicare insurance products to customers over the phone and providing exceptional customer service to ensure high levels of...

  • TeleSales and Retention Representative Bilingual

    2 months ago

    Houston, United States VERDA HEALTHCARE, INC. Full time

    Job DescriptionJob DescriptionBenefits:401(k)Competitive salaryDental insuranceHealth insurancePaid time offVision insuranceVerda Healthcare, Inc has a contract with the Center of Medicaid and Medicare Services (CMS) and Texas Department of Insurance for a Medicare Advantage Prescription Drug (MAPD) plan for 2024. We are looking for a TeleSales and Retention...

  • Patient Services Aide

    3 months ago

    Houston, United States Asian American Health Coalition Full time

    Job DescriptionJob DescriptionDescription:POSITION TITLE: Patient Services AideLOCATION: Hope ClinicREPORTS TO: Patient Support Team LeadEDUCATION: H.S. Diploma required, medical interpreter training preferredWORK EXPERIENCE: Relevant experience a plus!SALARY RANGE: $11.00-$15.00/hour based on experience and qualificationsFLSA STATUS: Hourly - Full-time...

  • TeleSales and Retention Representative Bilingual

    3 days ago

    Houston, Texas, United States VERDA HEALTHCARE, INC. Full time

    Job SummaryWe are seeking a highly skilled and bilingual TeleSales and Retention Representative to join our team at Verda Healthcare, Inc. As a key member of our sales and retention team, you will be responsible for selling and promoting our Medicare Advantage Prescription Drug (MAPD) plan to customers over the phone.Key ResponsibilitiesSales and Retention:...

  • Bilingual Vietnamese Physician Assistant

    2 weeks ago

    Houston, Texas, United States Oncology Consultants Full time

    Position: Bilingual Vietnamese Physician AssistantEmployment Type: ClinicalWork Schedule: Full TimeAbout the OrganizationOncology Consultants is a distinguished adult medical oncology and hematology practice with over 40 years of experience in delivering exceptional cancer care. Our dedicated healthcare professionals are committed to providing advanced...

  • Clinical Assistant

    2 months ago

    Houston, United States Ihealth Labs Inc Full time

    Job DescriptionJob DescriptionWork Location: Katy, TxPay Range: $18/hr-$22/hr based on experienceJob Type: Full-Time OnsiteOur Company:Founded in 2010, iHealth Labs is dedicated to empowering people to live healthier lives. The company is a leading provider of cloud-connected medical devices, personal health care devices, and home-based tests and is at the...

  • Vietnamese Interpreter

    4 weeks ago

    Houston, United States ContactLink Solutions Full time

    Job DescriptionJob DescriptionWE ARE HIRING EXPERIENCED INTERPRETERS PER MINUTE!!!LANGUAGE: VIETNAMESE Requirements:90% English proficiency Steady wired internet connectionUSB Wired headsetWindows 10 or MacOSWHAT WE OFFER YOU:Fully remote position with a clear scheduleFull-time or part-time positionImmediate availability to start working after...

  • Dental Patient Support Specialist

    3 months ago

    Houston, United States Asian American Health Coalition Full time

    Job DescriptionJob DescriptionDescription:POSITION TITLE: Dental Patient Support SpecialistLOCATION: HOPE ClinicREPORTS TO: Dental Department Team Lead or Assigned SupervisorEDUCATION: High School diploma or GED; Associates degree preferred; RDA preferredWORK EXPERIENCE: 1 year patient service experience in healthcare and/or dental care preferredSALARY...