Bilingual Health Plan Navigator (Hybrid)

Johnson Service Group, Inc.; San Francisco (CA); Hybrid; USD 36,000 - 47,000; Full time

Benefits offered by this job

Medical

Dental

Vision

Life insurance options

Short-term disability

401(k)

Weekly pay

Job summary

Johnson Service Group (JSG) is seeking a Bilingual Customer Service Navigator in South San Francisco, CA. Fluency in English and Spanish, Tagalog, or Chinese (Mandarin/Cantonese) is required. Hybrid schedule: Monday–Friday, 8:30am–5:00pm.

The role handles inbound/outbound calls, assists members with eligibility, benefits, and PCP selection, and ensures accurate documentation and HIPAA compliance. Benefits include medical, dental, vision, life insurance options, short-term disability, 401(k),

Qualifications

• High school diploma or GED.
• 1+ years in customer service or call center, healthcare or public-sector preferred.
• Experience with Medi-Cal/Medicare and underserved populations.

Responsibilities

• Handle inbound and outbound calls in a high-volume environment with excellent service and adherence to policies.
• Follow scripts and resources while protecting member confidentiality and HIPAA compliance.
• Resolve non-routine inquiries by leveraging available resources and escalating when needed.
• Educate members about eligibility, benefits, and PCP selection, providing clear information.
• Document interactions and actions accurately in the system with appropriate follow-up.
• Refer members to community partners and collaborate with other Healthplan departments as needed.

Skills

Bilingual

Education

High school diploma or GED

Tools

Microsoft Office

Job description

Johnson Service Group (JSG) is seeking a Bilingual Customer Service Navigator in South San Francisco, CA. Fluency in English and Spanish, Tagalog, or Chinese (Mandarin/Cantonese) is required. Hybrid schedule: Monday–Friday, 8:30am–5:00pm.

The role handles inbound/outbound calls, assists members with eligibility, benefits, and PCP selection, and ensures accurate documentation and HIPAA compliance. Benefits include medical, dental, vision, life insurance options, short-term disability, 401(k),