Customer Service Representative, Cantonese/Mandarin Speaking

🔥 0 minutes ago

🗣️🇨🇳 Chinese Required

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Astrana Health

1001 - 5000 employees

💼 Consulting

📦 Logistics

🏥 Healthcare

Consulting • Logistics • Healthcare

Astrana Health is a healthcare company that operates community-focused clinics and a provider-facing technology platform to coordinate care across primary, urgent, and multi-specialty services. It supports providers and local communities by streamlining access to care, automating prior authorizations, and connecting patients with in-network clinicians. Astrana combines clinical services with doctor-built technology to improve patient experience and provider workflows.

📋 Description

• Answer daily telephone calls from members, providers, health plans, insurance brokers, collection agents, and hospitals • Collect information about members’ or providers’ problems and concerns and provide general status information • Verify authorization, claims, eligibility, and status • Document calls in the company customer service module and NMM Queue system • Assist supervisors and managers with other assigned duties • Conduct member outreach by mail or telephone • Assist members with provider appointments • Resolve walk-in member concerns • Provide quality, professional, and respectful customer service • Maintain strict confidentiality • Send specialist termination notifications to members • Notify Medicare members of urgent authorization approvals • Arrange transportation for Medicare and Medi-Cal members • Perform outreach project assignments • Handle inbound member, provider, health plan, vendor, hospital, and broker calls • Conduct outbound follow-up calls regarding authorizations, benefits, complaints, grievances, DME, eligibility, bills, surveys, transportation, and voicemail • Support concierge services for new members and IPA transfers, PCP assignment, complex cases, billing and claims inquiries, and Health Plan coordination • Update call logs and provide daily or weekly status updates • Participate in work-group discussions and problem-solving with the management team

🎯 Requirements

• High School Diploma or GED • Experience using Microsoft Word, Excel, and Outlook • Experience working in customer service • One year of related experience and/or training, or equivalent combination of education and experience • Fluent in Cantonese or Mandarin • Previous healthcare-setting experience is advantageous

🏖️ Benefits

• Remote work arrangement • Monday–Friday schedule, 8:30am–5:00pm PST • Equal Employment Opportunity and Affirmative Action • Reasonable accommodation available for applicants with disabilities

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