We are seeking a Member Service Representative to join our team for a large Health Care Organization in South San Francisco area. This opportunity is 100% onsite.
Your day will consist of the following:
- Conducts Member Assessment interviews and collect members health history, primarily by phone.
- Clearly document responses, risks, and any barriers to accessing proper care in systems.
- Confirm receipt and validate completion of member assessments received via mail, telephone, fax, email, in person, online, and external partners.
- Confirm member eligibility and special flag status, e.g., hospice status.
- Clearly document any member’s complaints, including grievances and appeals.
- Clearly refer and communicate pertinent health information to appropriate departments to facilitate assistance with the member.
You will do great in this position with the following:
- Equivalent to a high school diploma or GED required.
- One (2) years of work experience in a healthcare or managed care environment.
- Experience working in a call center environment highly preferred.
- Bilingual skills in Mandarin, or Cantonese, Spanish, Vietnamese
Job Type: Full-time
Pay: $24.00 - $26.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- Dental insurance
- Employee discount
- Flexible schedule
- Health insurance
- Paid time off
- Vision insurance
Shift:
Weekly day range:
Ability to Commute:
Ability to Relocate:
- San Mateo, CA: Relocate before starting work (Required)
Work Location: In person