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Member Service Representative- Bilingual

All's Well Health Care Services South San Francisco, CA
  • Expired: over a month ago. Applications are no longer accepted.

Mon- Friday 8-5

4 month temp contract

· Provide customer service to HPSM members/participants primarily on the phone.

· Answer member/participant questions and/or refer the member/participant to the appropriate outside agency.

· Educate members/participants about their rights and responsibilities.

· Explain the benefits of the program, how the plan works, and how to get care.

· Answer questions about provider network for appropriate product line.

· Process changes to member records such as primary care physician, demographic and other changes.

· Conduct welcome calls.

· Assist members in resolution of problems receiving covered services and complaints, in an effective, accurate and timely manner.

· Document all activities in HPSM System.

· Refer unresolved complaints to the Grievance and Appeals Unit.

· Prepare activity reports as required.

· Follow-up if member has selected a provider in Established Patient Only (EPO) status.

· Answer questions about providers; educate members on effective dates for PCP changes; assist members in selecting and changing their PCP.

· Participate in and professionally represent HPSM at health fairs, community partnerships, meetings, committees and coalitions as requested by the Manager or Supervisor.

· Work with entire Member Services department to continuously measure and improve the performance of the department and HPSM.

· Perform other duties as assigned.

Requirements

Education and Experience: Equivalent to a high school diploma or GED required. One (1) year experience in a customer service environment highly desirable.

Knowledge of: Health insurance programs preferred. Customer service principles and practices. Personal computers and proficiency in Microsoft Office Suite applications, including Outlook, Word, Excel, Access and PowerPoint.

Other: ** SPANISH SPEAKING REQUIRED**

All's Well Health Care Services

Why Work Here?

Named in the top 50 Fortune Magazine places to work in the United States for Services!

All's Well Health Care Services is a privately held, diversified service organization comprised of a cohesive team of innovative people dedicated to providing the highest quality healthcare staffing services with the greatest value. We provide cost effective solutions to all levels of healthcare staffing.

Address

South San Francisco, CA
USA

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