Bilingual Member Services Navigator — Hybrid Health Plan

JSG (Johnson Service Group, Inc.); South San Francisco (CA); Ibrido; USD 50.000 - 75.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical

Dental

Vision

Life Insurance

Short-term Disability

401(k)

Weekly Pay

Descrizione del lavoro

Johnson Service Group (JSG) is seeking a Member Services Navigator for a Health Plan in California. The role requires bilingual ability in Spanish, Tagalog, Cantonese or Mandarin and a hybrid work arrangement in South San Francisco, CA, with 2 in-office days (Tuesday and Thursday).

The navigator serves as the primary contact for members, assisting with plan benefits, eligibility, and provider networks while coordinating with Health Services and community partners to resolve issues and advocate

Competenze

• High school diploma or GED required.
• 2–3 years of customer service experience in a health plan environment.
• Experience with seniors or persons with disabilities and medical assisting background preferred.

Mansioni

• Provide customer service to CareAdvantage members primarily on the phone.
• Explain benefits, eligibility, and provider network.
• Resolve access issues to CareAdvantage-covered services and medications.
• Document member complaints including grievances and appeals.
• Refer members to community partner agencies as appropriate.
• Coordinate with Health Services and Provider Services to submit service requests.

Conoscenze

Customer service

Communication

Formazione

High school diploma or GED

Strumenti

Microsoft Outlook

Microsoft Word

Microsoft Excel

Microsoft Access

Microsoft PowerPoint

Descrizione del lavoro

Johnson Service Group (JSG) is seeking a Member Services Navigator for a Health Plan in California. The role requires bilingual ability in Spanish, Tagalog, Cantonese or Mandarin and a hybrid work arrangement in South San Francisco, CA, with 2 in-office days (Tuesday and Thursday).

The navigator serves as the primary contact for members, assisting with plan benefits, eligibility, and provider networks while coordinating with Health Services and community partners to resolve issues and advocate