Member Services Representative I (English/Spanish Bilingual)
at Central California Alliance for Health
Scotts Valley, CA
We have an opportunity to join the Alliance as a Member Services Representative I (English/Spanish Bilingual) in the Member Services Department.
WHAT YOU'LL BE RESPONSIBLE FOR
Reporting to the Member Services Supervisor you will acts as the frontline customer service representative within the Member Services Department, providing assistance to members and providers and facilitate and coordinate non-medical transportation benefits for members.
WHAT YOU'LL NEED TO BE SUCCESSFUL
To read the full position description, and list of requirements click here
◦Working knowledge of the principles and practices of customer service
◦General administrative procedures, standard business office practices and the operation of general office equipment, such as computer, fax and copier
◦Proper grammar, spelling, punctuation and formatting
◦Windows-based PC systems and Microsoft Word, Outlook and Excel, and database systems
◦The basic principles and practices of health care
•Ability to: ◦Understand and communicate the complex operations and processes of the Alliance, particularly those related to Member Services and Care Management
◦Translate healthcare-related terminology and complex processes into simple language and step-by-step instructions when communicating with members and providers
◦Utilize a variety of computer systems, including the Alliance information system and external web sites and databases
◦Demonstrate strong organizational skills and attention to detail
◦Interpret, apply, and explain policies standards, regulatory requirements, and guidelines
◦Gather and evaluate information, ask appropriate questions, and utilize active listening and problem solving skills
◦Effectively, clearly and independently document, summarize and resolve member’s concerns and inquiries related to routine and moderately complex issues and recognize those issues requiring escalation to a higher level staff member
•Education and Experience:
◦High school diploma or equivalent
◦Minimum of two years of customer service experience in member services, health care, public assistance or human services or three years of experience in a customer service or call center environment (an Associate’s degree may substitute for one year of the required experience); or an equivalent combination of education and experience may be qualifying
•Medical, Dental and Vision Plans
•Ample Paid Time Off
•11 Paid Holidays per year
•401(a) Retirement Plan
•457 Deferred Compensation Plan
•Robust Health and Wellness Program
•EV Charging Stations
We are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us.
Join us at Central California Alliance for Health (the Alliance), where you will be part of a culture that is respectful, diverse, professional and fun, and where you are empowered to do your best work. As a regional non-profit health plan, we serve over 330,000 members in Santa Cruz, Monterey and Merced counties.
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