Astrana Health - El Monte, CA
posted 4 days ago
Full-time
El Monte, CA
Securities, Commodity Contracts, and Other Financial Investments and Related Activities
About the position
Astrana is looking for a Member Service Representative to join our fast and growing Dynamic team. Our Values: Put Patients First, Empower Entrepreneurial Provider and Care Teams, Operate with Integrity & Excellence, Be Innovative, Work As One Team.
Responsibilities
- Answer all daily telephone calls from members, providers, health plans, insurance brokers, collection agents and hospitals
- Collect Elicit information from members/providers including the problem or concerns and provide general status information
- Verify authorization, claims, eligibility, and status only
- Document all calls into Company's customer service module & NMM Queue system
- Assist Supervisor and Manager with other duties as assigned
- Conduct member outreach communications via mail or telephone
- Assist Member appointment with providers
- Resolve walk-in member concerns
- Provide quality service to the customers
- Communicate effectively with customers in a professional and respectful manner
- Maintain strictest confidentiality at all times
- Send specialist termination notifications to members
- Notify Medicare members of urgent Medicare Authorization Approval
- Arrange transportation for Medicare & Medi-Cal members
- Handle outreach project assignments
Requirements
- High School Diploma or GED
- Experience using Microsoft applications such as Word, Excel and Outlook
- Experience working in customer service
- One year related experience and/or training; or equivalent combination of education and experience
Nice-to-haves
- Previous work experience in a healthcare setting
- Bilingual in Mandarin/Cantonese
Benefits
- Compensation: $20.00 / hour
- Total compensation target pay range for this role is: $20.00 - $25.00 per hour
