Healthcare Professional with Bilingual Skills

1 week ago


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

Astrana Health is seeking a skilled Member Services Representative to join our dynamic team. As a key member of our operations, you will be responsible for providing exceptional customer service and support to our members.

Key Responsibilities
  • Answer daily telephone calls from members, providers, health plans, insurance brokers, collection agents, and hospitals
  • Collect and verify information from members/providers, including problem or concerns, and provide general status updates
  • Verify authorization, claims, eligibility, and status as needed
  • Document all calls into our customer service module and NMM Queue system
  • Assist supervisors and managers with other duties as assigned
What You'll Do

In addition to providing excellent customer service, you will also:

  • Maintain strict confidentiality at all times
  • Provide quality service to customers in a professional and respectful manner
  • Communicate effectively with customers via phone and mail
  • Assist with member appointments and resolve walk-in member concerns
  • Specialize in termination notifications and urgent Medicare authorization approvals
Requirements and Qualifications
  • 2+ years of healthcare experience
  • High School Diploma or GED
  • Experience using Microsoft applications such as Word, Excel, Adobe, and Outlook
  • Excellent communication and interpersonal skills
  • Bilingual in Vietnamese
Additional Requirements
  • Knowledge of Medicare Advantage
  • Experience with Ez-Cap
Working Conditions and Compensation

This position is based in our San Jose office, located at 2690 S. White Road, Suite 10, San Jose, CA 95148. There may be occasional on-field expectations to assist with marketing events. The total compensation target pay range for this role is $18.00 - $23.00 per hour.



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