Health Plan Navigator - Bilingual Member Support

Johnson Service Group; San Francisco (CA); Hybrid; USD 37,000 - 46,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k)

Weekly pay

Job summary

Johnson Service Group (JSG) is seeking Customer Service Navigators in South San Francisco, CA. This hybrid role requires 2 days in office and 3 days remote, with a 8:30am–5:00pm schedule and a pay range of $26.50-$33.50 per hour DOE.

Ideal candidates will have a high school diploma or GED and 1+ years in customer service or call center roles, preferably in health care or public sector settings, plus familiarity with health insurance terms.

Qualifications

• High school diploma or GED.
• 1+ years’ experience in Customer Service or Call Center, health care or public-sector preferred.
• Experience with managed care plans, Medi-Cal and Medicare; serving underserved populations.

Responsibilities

• Handle high-volume inbound and outbound calls with professionalism and empathy, following policies and quality metrics.
• Follow scripts and guidelines to resolve member/provider inquiries, maintaining HIPAA compliance.
• Educate members about eligibility, benefits, PCPs, and network; provide accurate provider information.
• Document interactions and follow-up actions in system; escalate to Grievance/Appeals as needed.
• Refer members to community partners; assist with care coordination and provider referrals when applicable.
• Participate in meetings and trainings; support cross-training to ensure operational continuity.

Skills

Customer service

Communication

Bilingual preferred

Education

High school diploma or GED

Tools

Microsoft Office

Job description

Johnson Service Group (JSG) is seeking Customer Service Navigators in South San Francisco, CA. This hybrid role requires 2 days in office and 3 days remote, with a 8:30am–5:00pm schedule and a pay range of $26.50-$33.50 per hour DOE.

Ideal candidates will have a high school diploma or GED and 1+ years in customer service or call center roles, preferably in health care or public sector settings, plus familiarity with health insurance terms.