Bilingual Chinese Member Experience Associate

2 days ago

Orange, California, United States Alignment Healthcare Full time
Job Title: Member Experience Associate - Bilingual Chinese

At Alignment Healthcare, we are revolutionizing healthcare for seniors by leveraging our world-class technology platform, innovative care delivery models, and deep physician partnerships. We are seeking a highly motivated and detail-oriented Member Experience Associate to join our team.

Responsibilities:
  • Provide exceptional customer service to plan members, addressing their concerns and resolving issues in a timely and professional manner.
  • Explain plan procedures, protocols, benefits, and services to members, ensuring they have a clear understanding of their coverage.
  • Facilitate member requests for changes, such as network provider changes or transportation requests.
  • Document all incoming calls, including caller information, reason for call, and resolution.
  • Respond to complaints against the health plan and its contracted facilities, utilizing our Complaint / Grievance Policy and Procedure.
  • Assist with member outreach programs and implementations as needed.
  • Foster good corporate relations by practicing excellent customer service principles.
Requirements:
  • Minimum 3 months' related experience and/or training, or equivalent combination of education and experience.
  • Minimum 2 years' customer service/telemarketing experience.
  • Medical front office experience preferred.
  • Direct sales or related experience, preferably in the Medi-Cal, Commercial, or Medicare Managed Care industry.
  • High school diploma or general education degree (GED); one to three months related experience and/or training, or equivalent combination of education and experience.
  • Associate degree (AA) degree (preferred).
  • Knowledge of Medi-Cal, Commercial, and Medicare Managed Care Plans.
  • Bilingual English and Chinese (Mandarin).
Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Essential Physical Functions:

  • While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear.
  • The employee is frequently required to walk; stand; reach with hands and arms.
  • The employee is occasionally required to climb or balance and stoop, kneel, crouch, or crawl.
  • The employee must occasionally lift and/or move up to 20 pounds.
  • Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually moderate.

  • Bilingual Chinese Member Experience Associate

    4 weeks ago

    Orange, California, United States Alignment Healthcare Full time

    Job Title: Bilingual Chinese Member Experience AssociateAlignment Healthcare is seeking a highly motivated and detail-oriented Bilingual Chinese Member Experience Associate to join our member experience team. As a key member of our team, you will be responsible for assisting plan members with their concerns or complaints and providing the necessary...

  • Member Experience Associate

    4 weeks ago

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

    Overview of the RoleAlignment Healthcare USA, LLC is seeking a highly motivated and detail-oriented Member Experience Associate to join our 24/7-remote member experience team. As a Member Experience Associate, you will play a critical role in assisting Alignment Healthcare members with their concerns or complaints and providing the necessary information and...

  • Bilingual Customer Service Representative

    2 weeks ago

    Orange, California, United States Partners Personnel Full time

    Job SummaryWe are seeking a highly motivated and experienced Bilingual Customer Service Representative to join our team in Orange, CA. The Customer Service Representative will serve as a senior point of contact for members and providers, assisting them with questions and/or complaints related to their plan services. This is a full-time, onsite-contract role...

  • Bilingual Customer Service Representative

    2 weeks ago

    Orange, California, United States Ultimate Staffing Full time

    Job SummaryWe are seeking a highly skilled Bilingual Customer Service Representative to join our team at Ultimate Staffing. As a key member of our customer service team, you will be responsible for providing exceptional service to our clients and resolving their inquiries and complaints in a fair and effective manner.Key Responsibilities:Participate in a...

  • Bilingual Customer Service Representative

    3 days ago

    Orange, California, United States Ultimate Staffing Full time

    Job SummaryThe Customer Service Representative Sr is the first point of contact for Health members and providers, assisting with questions related to programs for Orange County. The incumbent resolves member inquiries and complaints fairly and effectively, providing information on eligibility, enrollment, benefits, and services to Health eligible members and...

  • Bilingual Customer Service Representative

    2 weeks ago

    Orange, California, United States Partners Personnel Full time

    Job SummaryWe are seeking a highly motivated and experienced Bilingual Customer Service Representative to join our team in Orange, CA. The Customer Service Representative will serve as a senior point of contact for members and providers, assisting them with questions and/or complaints related to their plan services. This is a full-time, onsite-contract role...

  • Customer Service Representative

    2 weeks ago

    Orange, California, United States The Judge Group Full time

    Job Title: Customer Service RepresentativeThe Judge Group is seeking a highly skilled and bilingual Customer Service Representative to join our team. As a key member of our client's support team, you will be responsible for providing exceptional customer service to members and providers.Key Responsibilities:Assist members and providers with questions related...

  • Bilingual Store Associate

    5 hours ago

    Orange, California, United States The Sherwin-Williams Company Full time

    Job SummaryWe are seeking a highly motivated and customer-focused Bilingual Store Associate to join our team at The Sherwin-Williams Company. As a key member of our retail sales team, you will be responsible for providing exceptional customer service, building strong relationships with wholesale and retail customers, and achieving sales goals.Key...

  • Bilingual Sales Associate

    1 month ago

    Orange, California, United States The Sherwin-Williams Company Full time

    About the RoleWe are seeking a highly motivated and customer-focused Bilingual Sales Associate to join our team at The Sherwin-Williams Company. As a Sales Associate, you will play a critical role in providing exceptional customer service, driving sales growth, and maintaining a positive store environment.Key ResponsibilitiesCustomer Service: Ensure high...

  • Grievance Resolution Specialist

    1 week ago

    Orange, California, United States Infojini Full time

    Job Title: Grievance Resolution SpecialistInfojini is seeking a highly skilled Grievance Resolution Specialist to join our team. As a key member of our organization, you will be responsible for resolving grievances and appeals in a timely and efficient manner.Key Responsibilities:Participate in a mission-driven culture of high-quality performance, with a...

  • Admitting Clerk

    4 weeks ago

    Orange, California, United States University of California Irvine Health Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Admitting Worker to join our team at UCI Health Newport Beach. As a key member of our healthcare team, you will be responsible for providing exceptional patient care and administrative support in our ambulatory clinics.Key ResponsibilitiesServe as the first point of contact for patients,...

  • Admitting Clerk

    4 weeks ago

    Orange, California, United States University Of California Irvine Full time

    Job SummaryWe are seeking a highly skilled and detail-oriented Admitting Worker to join our team at the University of California, Irvine. As a key member of our healthcare team, you will be responsible for providing exceptional patient care and administrative support in our ambulatory clinics.Key ResponsibilitiesServe as the first point of contact for...

  • Grievance Resolution Specialist

    3 weeks ago

    Orange, California, United States Infojini Full time

    Job DescriptionGrievance Resolution SpecialistJob Summary:We are seeking a highly skilled and detail-oriented Grievance Resolution Specialist to join our team at Infojini. As a Grievance Resolution Specialist, you will be responsible for resolving member grievances and appeals in a timely and efficient manner, ensuring that all decisions are made in...

  • Customer Service Representative

    2 weeks ago

    Orange, California, United States The Judge Group Full time

    Customer Service Representative Job DescriptionThe Judge Group is seeking a highly skilled Customer Service Representative to join our team in Orange, CA.As a Customer Service Representative, you will be the primary point of contact for members and providers, providing exceptional support and resolving issues in a timely and professional manner.Key...

  • Grievance Resolution Specialist

    4 weeks ago

    Orange, California, United States Impresiv Health Full time

    About the RoleWe are seeking a highly skilled Grievance Resolution Specialist to join our team at Impresiv Health. As a key member of our operations team, you will play a critical role in ensuring that our members receive timely and effective resolution of their grievances and appeals.Key ResponsibilitiesCoordinate the Grievance and Appeal resolution...

  • Admitting Clerk

    2 weeks ago

    Orange, California, United States University Of California Irvine Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Admitting Worker to join our team at the University of California, Irvine. As a key member of our healthcare team, you will be responsible for providing exceptional patient care and administrative support in our ambulatory clinics.ResponsibilitiesServe as the first point of contact for...

  • Admitting Clerk

    4 weeks ago

    Orange, California, United States University Of California Irvine Full time

    Job SummaryWe are seeking a highly skilled and detail-oriented Admitting Worker to join our team at the University of California, Irvine. As a key member of our healthcare team, you will be responsible for providing exceptional patient care and administrative support in our ambulatory clinics.Key ResponsibilitiesServe as the first point of contact for...

  • Admitting Clerk

    2 weeks ago

    Orange, California, United States University Of California Irvine Full time

    Job SummaryWe are seeking a highly skilled and detail-oriented Admitting Worker to join our team at the University of California, Irvine. As a key member of our healthcare team, you will be responsible for providing exceptional patient care and administrative support in our ambulatory clinics.Key ResponsibilitiesServe as the first point of contact for...

  • Travel Nurse RN

    4 weeks ago

    Orange, California, United States talent4health Full time

    Job SummaryCalOptima Health is seeking a highly motivated and experienced Registered Nurse (RN) to join our Case Management team as a Medical Case Manager. The successful candidate will be responsible for providing ongoing case management services to our members, ensuring quality and cost-effective outcomes.Key Responsibilities:Assess member needs using...

  • Admitting Clerk

    4 weeks ago

    Orange, California, United States University of California Irvine Health Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Admitting Worker to join our team at University of California Irvine Health. As a key member of our ambulatory clinics, you will be the first point of contact for patients, providing exceptional customer service and ensuring a smooth registration process.Key ResponsibilitiesEnter patient data...