Job Title: Member Service Representative (Bilingual - Vietnamese, Korean, Spanish, or Chinese)
Target Compensation Range: $25.00-$28.00/hour, depending on the level of relevant qualifications and experience.
About Us:
Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering comprehensive care tailored to the needs of our diverse community, we prioritize accessibility, affordability, and quality in all aspects of our services. Join us in our mission to transform healthcare delivery and make a meaningful difference in the lives of our members.
SUMMARY: The Member Service Specialist is responsible for answering telephonic inquiries from current and potential members and providers regarding Medicare Advantage benefits, eligibility, enrollment, claims, referral, prior authorizations, appeals & grievances and other related concerns. Our Member Service Specialists ensure customer satisfaction by providing excellent customer service, displaying a desire to help and maintaining a professional demeanor. Member Service Specialists will be expected to maintain quality and performance standards.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:
EDUCATION and/or EXPERIENCE:
BENEFITS:
...license Experience in human, social, and/or behavioral health services, especially with homeless or underserved populations ... ...consultations Support patient advocacy within the organization and community Maintain required documentation including assessments,...
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