Clever Care Health Plan Is Hiring A Customer Service Representative Bilingual Mandarin And Cantonese

Join our dynamic team as a Bilingual Customer Service Representative (Mandarin and Cantonese) and help us revolutionize healthcare delivery for diverse communities! 🌟

About Us

Clever Care is one of Southern California’s fastest-growing Medicare Advantage plans, boasting an impressive 112% year-over-year membership growth. We blend Western medicine with holistic Eastern practices to offer benefits that truly resonate with our members’ cultures and values.

Why Join Clever Care? 🚀

Be part of a mission-driven organization committed to making healthcare accessible for underserved communities. At Clever Care, you’ll have the chance to make a real difference, shape the future of healthcare, and thrive in a diverse, innovative environment that values your contributions.

Job Summary

As a Member Advocate, you will serve as the primary contact for members, prospective members, providers, brokers, and vendors. Your role involves addressing questions and concerns related to benefits, eligibility, referrals, claims, and plan services. A successful candidate will excel in delivering exceptional customer service with professionalism and a helpful attitude.

Key Responsibilities

• Educate members, families, providers, and caregivers about benefits and plan options.
• Explain benefits clearly via in-person, email, fax, or phone communication.
• Follow up with members to clarify issues, determine causes, and explain solutions.
• Escalate complex issues to management or appropriate departments when necessary.
• Support membership retention through participating in member calling projects.
• Adhere to policies, procedures, and job aids to ensure efficient operations.
• Identify workflow improvements and communicate suggestions to management.
• Comply with all federal and state regulatory guidelines, including HIPAA requirements.
• Accurately document transactions and summarize actions in the appropriate systems.
• Maintain a mindset open to ongoing coaching and feedback.
• Perform other duties as assigned.

Qualifications

Education & Experience

• High School Diploma or equivalent required.
• Bachelor’s Degree or comparable experience preferred.
• At least 2 years of customer service experience, ideally in healthcare management or call centers.

Skills & Competencies

• Understanding of CMS regulations is a plus.
• Bilingual proficiency in Cantonese and Mandarin; additional languages such as Vietnamese, Korean, Spanish, Thai, Khmer, or Japanese may be required.
• Excellent verbal and written communication skills.
• Strong active listening abilities.
• Team player with collaborative spirit.
• Quick learner with adaptability.
• Calm and courteous demeanor, especially when handling upset members.
• Ability to listen, speak, and type simultaneously.
• Proficiency in Microsoft Office (Word, Excel, Outlook).
• Typing speed of 40 WPM (60 WPM preferred).

Additional Information

Must be willing and able to work some weekends from October to March. The wage range for this position is $20 - $23 per hour. 💼