Remote Scheduling & Member Services Specialist

Alignment Healthcare USA; United States; Remote; USD 21,000 - 30,000; Full time

Job summary

Alignment Health is a forward-thinking health care company focused on serving seniors and chronically ill patients. This role emphasizes expert knowledge of clinical programs, benefits, and scheduling for Health Assessments to resolve member inquiries.

The position requires strong communication, problem solving, and multilingual capacity where available. Join a team dedicated to improving senior care and member outcomes in a fast-paced environment.

Qualifications

• Minimum 1 year of call center experience helping members navigate access to care through Medicare Advantage or HMO.
• Strong communication and interpersonal skills with members, vendors, and teams.
• Ability to read and interpret documents and write routine reports.

Responsibilities

• Serve as a subject matter expert in clinical programs and benefits to resolve member inquiries.
• Conduct member outreach via phone or inbound calls, honoring language preferences; use interpreters as needed.
• Collaborate with partners to facilitate the member experience across departments.
• Identify members for care gaps, assess program eligibility, and connect to appropriate services.
• Document accurately in real-time and complete activity wrap-ups for outcomes reporting.
• Meet or exceed individual and team goals; submit timely activity reports.
• Provide customer service excellence and go above and beyond to ensure member satisfaction.
• Perform other duties as assigned.

Skills

Call center experience

Customer service

Communication skills

Bilingual ability

Education

High School Diploma or GED

College courses

Tools

Typing 40+ wpm

Job description

Alignment Health is a forward-thinking health care company focused on serving seniors and chronically ill patients. This role emphasizes expert knowledge of clinical programs, benefits, and scheduling for Health Assessments to resolve member inquiries.

The position requires strong communication, problem solving, and multilingual capacity where available. Join a team dedicated to improving senior care and member outcomes in a fast-paced environment.