Client Service Rep. - Bilingual Korean

Advanced Medical Management, Inc.; Long Beach (CA); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Health coverage

Flexible PPO plan

Vision & dental premiums

FSAs

401(k)

PTO & sick pay

Paid holidays

Tuition reimbursement

Team outings & lunches

Job summary

Advanced Medical Management, Inc. is seeking a Client Service Professional in California.

This essential role serves as the hub between clients, patients, and internal departments, handling incoming calls rapidly and delivering 5-star service. The ideal candidate will be a problem solver with strong time management, capable of handling inquiries on claims, authorizations, and eligibility, while documenting actions in our proprietary software.

Qualifications

• Korean fluency is required.
• High School Diploma or GED required; Associates degree preferred.
• 2+ years of call center experience; 1+ year in medical/healthcare environment preferred.
• High energy, goal oriented, and able to deliver 5-star service.
• Strong problem solving and time management skills.
• Excellent verbal and written communication; positive attitude and work ethic.

Responsibilities

• Receive inbound calls from health providers, health plans, and patients requesting status updates on claims and authorizations for service.
• Provide information on eligibility for medical services and transfer calls when needed.
• Identify, research, and resolve issues regarding claims and eligibility.
• Make outbound follow-up calls when needed; document actions in AMM software.
• Flag trends and suggest process improvements.

Skills

Korean fluency

Call center experience

Problem solving

Time management

Verbal & written communication

MS Office (Word/Outlook/Excel)

Education

High School Diploma / GED

Associates degree preferred

1+ year in medical/healthcare environment preferred

Tools

Word

Outlook

Excel

Job description

This role of Client Service Professional is considered an essential position within the organization. The Call Center is the communication hub between our clients, patients, and internal departments. You will be required to accept incoming calls at a very rapid pace, problem solve any challenges presented with claims, authorizations for service, and various other issues. This is not a routine position as it requires energy, enthusiasm, and the desire to give 5 star quality service.

The right candidate should have confidence in their abilities as a problem solver, and have the poise to execute solutions in a timely fashion. You will also be responsible for making follow-up calls to resolve challenges throughout your day. Good time-management is essential.

Some of your Key Performance Indicators (KPI) will include the amount of inbound and outbound calls made/received per day, how many calls you will have needed to elevate to a manager versus concluding them on your own, and other various KPI’s.

Primary Responsibilities

• Receive inbound calls from Health Providers, Health Plans, and patients requesting status updates and information on Claims, Authorizations for Service, Eligibility for Service, and various other related Medical questions
• Provide information on eligibility for medical services
• Transfer calls to appropriate departments when applicable
• Identify, research, and resolve any issues regarding Claims, Eligibility, Authorizations for Service, ETC.
• Make outbound calls for follow up purposes when needed
• Recognize and alert management of inappropriate trends in customer calls
• Recommend process improvements
• Document all calls and actions in AMM proprietary software
• Other duties as assigned

Required Skills and Abilities

• Fluency in Korean is a MUST
• High School Diploma, GED required. Associates degree preferred
• 2+ years of call center experience is strongly preferred
• 1+ year in medical or healthcare environment preferred
• High energy and goal orientated
• Problem solving and time management skills
• Brilliant verbal and written skills
• Proficient in Word, Outlook, Excel
• Positive attitude with great interpersonal skills
• Outstanding work ethic
• Ability to work Monday through Friday 8:00am-5:00p

AMM BENEFITS

When you join AMM, you're not just getting a job-you're getting a benefits package that puts YOU first:

• Health Coverage You Can Count On: Full employer-paid HMO and the option for a flexible PPO plan.
• Wellness Made Affordable: Discounted vision and dental premiums to help keep you healthy from head to toe.
• Smart Spending: FSAs to manage healthcare and dependent care costs, plus a 401(k) to secure your future.
• Work-Life Balance: Generous PTO, 40 hours of sick pay, and 13 paid holidays to enjoy life outside of work.
• Career Development: Tuition reimbursement to support your education and growth.
• Team Fun: Paid company outings and lunches because we work hard, but we also know how to have fun!