Healthcare Professional with Bilingual Skills
1 week ago
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
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
- 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
- Knowledge of Medicare Advantage
- Experience with Ez-Cap
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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