Healthcare Representative

4 weeks ago


San Jose, California, United States Astrana Health Full time
About the Role

Astrana Health is seeking a highly skilled Member Services Representative to join our dynamic team. As a key member of our organization, you will play a vital role in providing exceptional customer service to our members, providers, and health plans.

Key Responsibilities
  • Answer daily telephone calls from members, providers, health plans, and other stakeholders, providing accurate and timely information.
  • Collect and verify information from members and providers, including problem or concerns and general status information.
  • Verify authorization, claims, eligibility, and status, ensuring accurate and up-to-date information.
  • Document all calls and interactions into our customer service module and NMM Queue system.
  • Assist supervisors and managers with other duties as assigned, including member outreach communications and appointment scheduling.
  • Resolve walk-in member concerns and provide quality service to customers.
  • Maintain strict confidentiality at all times and adhere to company policies and procedures.
Requirements
  • 2+ years of healthcare experience, with a focus on customer service and communication.
  • High School Diploma or GED, with a strong understanding of Microsoft applications, including Word, Excel, Adobe, and Outlook.
  • Experience working in customer service, with a proven track record of providing exceptional service to customers.
  • Bilingual in Vietnamese, with the ability to communicate effectively with customers in a professional and respectful manner.
What We Offer

Astrana Health is proud to offer a competitive salary range of $18.00 - $23.00 per hour, as well as a comprehensive benefits package and opportunities for professional growth and development.

We are an equal employment opportunity and affirmative action employer, committed to diversity and inclusion in the workplace. If you require assistance in applying for this role due to a disability, please email us at [email protected] to request an accommodation.



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