Hybrid Health Care Support Navigator

Bayside Solutions; California; Hybride; USD 37 000 - 46 000; Plein temps

Résumé du poste

Bayside Solutions in South San Francisco, CA offers a hybrid role as a Customer Service Navigator. You will respond to member and provider inquiries by phone and other channels, delivering prompt, accurate information about benefits, eligibility, and services.

The role emphasizes HIPAA-compliant handling of sensitive health data, seamless escalation, and coordination with care teams. 1+ year in healthcare or public service is preferred, with bilingual capabilities highly valued.

Qualifications

• High school diploma or GED required.
• 1+ year of experience in customer service or call center, preferably in healthcare.
• Experience with Medi-Cal and Medicare preferred.
• Microsoft Office products knowledge (Word, Excel, PowerPoint, Outlook).
• Bilingual skills in Spanish, Mandarin, Cantonese, or Tagalog required.
• Ability to maintain health information confidentiality per HIPAA.

Responsabilités

• Handle high-volume inbound and outbound calls and other communications with members and providers.
• Follow scripts and guidelines while protecting confidential information per HIPAA.
• Explain eligibility, benefits, and provider networks to members and assist with PCP selection and changes.
• Document all interactions accurately in accordance with policies and procedures.
• Escalate issues to appropriate departments and coordinate care coordination referrals as needed.

Connaissances

Customer service

Call center

Healthcare knowledge

Bilingual

Microsoft Office

HIPAA compliance

Formation

High school diploma or GED

Outils

Microsoft Word

Excel

PowerPoint

Outlook

Description du poste

Bayside Solutions in South San Francisco, CA offers a hybrid role as a Customer Service Navigator. You will respond to member and provider inquiries by phone and other channels, delivering prompt, accurate information about benefits, eligibility, and services.

The role emphasizes HIPAA-compliant handling of sensitive health data, seamless escalation, and coordination with care teams. 1+ year in healthcare or public service is preferred, with bilingual capabilities highly valued.