Alignment Health

Customer Service Representative

Alignment Health

full-time

Posted on:

Location Type: Remote

Location: Remote • California • 🇺🇸 United States

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Salary

💰 $47,029 - $70,544 per year

Job Level

Junior

About the role

  • Provides in-market, specialized member support
  • Conducts in-market member engagement including Welcome Calls and New Member Onboarding
  • Ensures members have access to PCP and specialists to coordinate care
  • Educates members on gaps in care and assists with scheduling appointments
  • Communicates with PCP with any member updates and requests
  • Assists with obtaining medical records from healthcare providers
  • Resolves incoming calls concerning members’ eligibility, benefits, and clinical needs
  • Participates in on-site member engagement activities as needed

Requirements

  • Minimum 1 year of customer service experience
  • Knowledge of ICD-10 and CPT codes
  • Keyboard typing 40+ words per minute
  • Ability to help members navigate access to care through Medicare Advantage or HMO
  • Ability to communicate positively and professionally with others
  • Effective written and oral communication skills
  • Ability to read and interpret documents
  • Ability to perform mathematical calculations
  • Effective problem-solving, organizational, and time management skills
  • Bilingual English/Spanish or English/Vietnamese or English/Mandarin preferred
Benefits
  • Health insurance
  • Flexible work arrangements
  • Professional development opportunities

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
ICD-10 codesCPT codeskeyboard typing 40+ words per minute
Soft skills
customer servicecommunicationproblem-solvingorganizational skillstime managementeffective written communicationeffective oral communication
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