Medicare Member Services Pro: Outbound Specialist

Astiva Health; Orange (CA); On-site; USD 25,000 - 33,000; Full time

Benefits offered by this job

401(k)

Dental Insurance

Health Insurance

Life Insurance

Vision Insurance

Paid Time Off

Job summary

Astiva Health, located in Orange, CA, is seeking a Member Service Specialist to handle Medicare Advantage inquiries from members and providers. You will answer calls, explain benefits, assist with eligibility, enrollment, claims, and prior authorizations, while maintaining professionalism and high service standards.

The role requires strong communication, data entry skills, and the ability to meet daily targets.

Qualifications

• Excellent verbal communication and active listening.
• Strong persuasion and objection-handling abilities.
• Resilience and ability to handle rejection positively.
• Basic computer skills, accurate typing (CRM navigation, data entry).
• Clear, professional phone voice with good diction and tone.
• Ability to work flexible schedules including evenings and weekends if needed.
• Ability to build rapport with members
• Bilingual in Vietnamese (verbal and written).

Responsibilities

• Make 80–150+ outbound calls per day (depending on campaign and company targets).
• Introduce the company’s services and collect data using provided scripts while adapting to customer responses.
• Identify customer needs, answer questions, overcome objections, and build rapport.
• Meet or exceed KPIs such as talk time, conversion rate, target hit daily.
• Follow all compliance guidelines.
• Participate in daily/weekly training and coaching sessions to improve performance.
• Go above and beyond to provide exceptional customer service.
• Regular and consistent attendance
• Other duties as assigned

Skills

Verbal communication

Active listening

Persuasion & objection handling

Resilience

CRM navigation

Data entry

Phone etiquette

Flex schedules

Rapport building

Vietnamese (verbal & written)

Tools

CRM software

Data entry

Job description

Astiva Health, located in Orange, CA, is seeking a Member Service Specialist to handle Medicare Advantage inquiries from members and providers. You will answer calls, explain benefits, assist with eligibility, enrollment, claims, and prior authorizations, while maintaining professionalism and high service standards.

The role requires strong communication, data entry skills, and the ability to meet daily targets.