Healthcare Benefits Coordinator
2 weeks ago
This position is located at our Community Resource Center (CRC) in Pomona, California. As a CRC Representative, you will provide in-person support to Blue Shield Promise members and consumers who visit the CRC.
Your ResponsibilitiesKey responsibilities include:
- Resolving issues and inquiries concerning member eligibility, benefits, provider information, clinical, pharmacy, and other health or social service needs.
- Composing routine and non-routine correspondence to answer benefits/provider inquiries in writing.
- Coordinating membership changes, such as primary care physician assignments.
- Analyzing available programs, determining program eligibility, and connecting members to appropriate BSC vendors, Health Advocates, Social Workers, Pharmacy Techs, and Pharmacists.
- Conducting outreach calls and activities to inform members about the Community Resource Centers, how to access health plan benefits, and assisting with scheduling appointments.
- Verifying member inclusion in outreach or care gap programs and connecting members to programs or services when appropriate.
To succeed in this role, you will need:
- At least 3 years of professional experience.
- Broad knowledge of operational systems and practices typically gained through extensive experience and/or education.
- Bilingual proficiency in Spanish, demonstrated by successful completion of an oral language proficiency test.
- Experience with Medi-Cal enrollment guidelines, specifically Medi-Cal renewal/redetermination process.
- A customer service background.
Blue Shield of California is a leading health plan that connects members to quality healthcare services. We are dedicated to improving the lives of our members and communities.
BenefitsWe offer a competitive salary range of $20.47 to $28.66 per hour for this role, based on experience and qualifications. Additional benefits include opportunities for professional growth and development, a positive work environment, and a chance to make a meaningful impact in the lives of our members.
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