Family Resource Center Member Representative II(Bilingual Korean Preferred)

Job Category:  Customer Service
Department:  Family Resource Center-Metro LA
Location: 

Los Angeles – South Park, CA, US

Position Type:  Full Time
Requisition ID:  5273

 

Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members in five health plans, we make sure our members get the right care at the right place at the right time.

Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.

Job Summary

Based at the L.A. Care Community Health Resource Center, the Family Resource Center Member Representative II reports directly to the Center Administrator and is the key point of contact in the provision of professional, accurate and courteous customer service to members and future members. Individual will perform various functions at the Center to assist members and customers with resolution of issues, educating members, customer and community on navigating the health care system, coordination of new member welcome calls, answers customer service-related questions, supports member retention and enrollment efforts. Conducts new member orientations at the Center and assists with the promotion of orientations to increase member participation. Participate in outreach/enrollment presentations. Triage member issues and grievances internally to appropriate department for resolution. Conducts enrollments at the Center and serves as back up to the Center Representative.

Duties

Assist members and customers with resolution of issues and answers customer service related questions. Triage member issues and grievances internally to appropriate department for resolution. (30%)

 

Educate members, customers and community on navigating the health care system and conduct ongoing workshops and seminars. Participate in outreach/enrollment presentations. (30%)

 

Process member changes and document accordingly. Backstop enrollment specialist with application process. (15%)

 

Coordination of new member welcome calls. (15%)

 

Perform other duties as assigned. (10%)

Education Required
High School Diploma/or High School Equivalency Certificate
Education Preferred
Experience

Required:
Minimum 0-1 years customer service experience (telephonic and in-person); data entry.

Skills

Required:
Strong knowledge of heath care and various managed care product lines (Medi-Cal and Covered CA).

 

Strong interpersonal and presentation skills.
 
Strong organizational skills.

 

Strong verbal and written communication skills and documentation skills.
 
Ability to multi-task.

 

Must be a quick learner and an excellent team player.

 

Demonstrated critical thinking and analytical skills.

 

Ability to convince others to take appropriate action and discuss and reach a mutually satisfactory agreement. 

 

Strong knowledge of medical terminology. 

 

Proficient in Microsoft Office.

 

Preferred:
Bilingual in one of L.A. Care Health Plan’s threshold languages is highly desirable. English, Spanish, Chinese, Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese.

Licenses/Certifications Required
Licenses/Certifications Preferred
Required Training
Additional Information

 

L.A. Care offers a wide range of benefits including

  • Paid Time Off (PTO)
  • Tuition Reimbursement
  • Retirement Plans
  • Medical, Dental and Vision
  • Wellness Program
  • Volunteer Time Off (VTO)


Nearest Major Market: Los Angeles

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