Remote Bilingual Customer Navigator Cantonese (Health Plan)

Johnson Service Group, Inc.; South San Francisco (CA); Remote; USD 37,000 - 46,000; Full time

Job summary

Johnson Service Group (JSG) seeks a bilingual Cantonese-speaking Member Services Navigator in California for a Health Plan. This remote role runs Monday through Friday, 8:30 AM to 5 PM.

The position pays $26.50–$33.50 per hour DOE and requires living in California. Responsibilities include assisting CareAdvantage members by phone, answering benefits questions, making welcome calls, resolving access issues, and coordinating with providers and community partners.

Qualifications

• Equivalent to a high school diploma or GED required.
• Two to three years' experience performing customer service, preferably in a health plan environment.
• Experience working with seniors or persons with disabilities and/or in a medically related field such as medical assisting.

Responsibilities

• Provide customer service to CareAdvantage members primarily on the phone.
• Answer member questions about CareAdvantage health and prescription drug benefits, eligibility, and provider network.
• Make New Member Welcome Calls.
• Resolve problems that members have accessing CareAdvantage-covered services.
• Ensure that assigned members retain CareAdvantage enrollment by contacting members and partnering agencies.
• Document member complaints, including grievances and appeals.
• Follow through with proactive solutions to resolve member issues.
• Prepare and submit requests for services to HPSM Health Services.
• Prepare and submit member requests for continuity of care with non-contracted providers.
• Refer members to community partner agencies as appropriate.
• Relay health information to clinical staff to facilitate care coordination.
• Participate in and represent the company at health fairs, partnerships, meetings, committees, and coalitions.

Skills

Customer service

Health plan experience

Seniors / disabilities experience

Education

High school diploma or GED

Tools

Microsoft Office Suite

Outlook

Word

Excel

Access

PowerPoint

Job description

Johnson Service Group (JSG) seeks a bilingual Cantonese-speaking Member Services Navigator in California for a Health Plan. This remote role runs Monday through Friday, 8:30 AM to 5 PM.

The position pays $26.50–$33.50 per hour DOE and requires living in California. Responsibilities include assisting CareAdvantage members by phone, answering benefits questions, making welcome calls, resolving access issues, and coordinating with providers and community partners.