Customer Service Representative (Spanish Speaking)

Department: Ops - Member Services

Employment Type: Full Time

Location: 9700 Flair Drive, El Monte, CA 91731

Reporting To: Emma Goodman

Compensation: $20.00 / hour

Description

Astrana Health is looking for a Customer Service Representative to join our fast and growing dynamic team.
*Must be fluent in Spanish (speaking only is ok).

Our Values: 

• Put Patients First
• Empower Entrepreneurial Provider and Care Teams
• Operate with Integrity & Excellence
• Be Innovative
• Work As One Team

What You'll Do

• 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 
• All calls carefully documented into Company’s customer service module & NMM Queue system 
• Member/Provider Service/Representative assists Supervisor and Manager with other duties as assigned 
• Member outreach communications via mail or telephone 
• Assist Member appointment with providers 
• Resolve walk-in member concerns 
• Able to provide quality service to the customers 
• Able to communicate effectively with customers in a professional and respectful manner 
• Maintain strictest confidentiality at all times 
• Specialist termination notifications sent to members 
• Urgent Medicare Authorization Approval – Notification to Medicare members 
• Transportation arrangement for Medicare & Medi-Cal members 
• Outreach Project Assignments

Detailed job description can be provided upon request

Qualifications

• Must be fluent in Spanish (speaking only is ok)
• 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

You're a great for this role if:  

• You have previous work experience working in a healthcare setting 

Environmental Job Requirements and Working Conditions

• The total pay range for this role is $20.00 per hour. This salary range represents our national target range for this role.
• This position will typically work Monday - Friday from 8:30am to 5:00pm Pacific Time.
• This is a remote role. The home office is aligned with your department at 9700 Flair Drive, El Monte, CA 91731.

Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided based on qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation. Additional Information:The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.