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

Join our team as a Bilingual Customer Service Representative (Mandarin and Cantonese) at our Arcadia Office, and make a meaningful impact in the evolving healthcare landscape! 🌟

Overview

• Location: Arcadia, CA 91007
• Salary Range: $20.00 - $23.00 per hour
• Position Type: Full Time

Description 🎯

Are you ready to make a lasting impact and help transform the healthcare experience? We are one of Southern California's fastest-growing Medicare Advantage plans, experiencing an incredible 112% year-over-year membership growth.

Clever Care was created to serve the diverse needs of our communities. Our innovative benefit plans blend Western medicine with holistic Eastern practices, aligning with our members' cultural values and preferences.

Why Join Us? 🚀

We are on a mission! Our rapid growth reflects our dedication to making healthcare accessible for underserved communities. At Clever Care, you'll have the opportunity to truly make a difference, shape the future of healthcare, and be part of an organization that celebrates diversity and innovation.

Job Summary

Member Advocates are the primary point of contact at Clever Care, engaging with members, prospective members, providers, brokers, and vendors. You will:

• Assist members with questions about benefits, eligibility, referrals, claims, and services.
• Ensure member satisfaction through superior service and a professional demeanor.
• Assess caller needs and determine the most effective course of action based on strong operational knowledge.

Functions & Job Responsibilities 📋

• Educate members, families, providers, and caregivers about benefits and plan options.
• Clearly explain benefits via in-person, email, fax, or phone communications.
• Follow up with members to clarify issues, identify causes, and explain solutions.
• Escalate complex member issues to management or other departments as needed.
• Participate in member calling projects to support membership retention.
• Adhere to policies, procedures, and job aids to maintain efficient operations, while offering suggestions for improvement.
• Comply with all Federal and State regulations, including HIPAA guidelines.
• Document transactions accurately in our systems and summarize actions taken.
• Maintain an environment open to continuous coaching and feedback.
• Perform other duties as assigned.

Qualifications 📚

Education & Experience

• High School Diploma or equivalent required.
• Bachelor's Degree or equivalent work experience preferred.
• At least 2 years of customer service experience, preferably in healthcare management or call center settings.

Skills

• Knowledge of Centers for Medicare and Medicaid Services (CMS) regulations.
• Bilingual proficiency in Cantonese, Mandarin, Vietnamese, Korean, Spanish, Thai, Khmer, or Japanese may be required.
• Exceptional verbal and written communication skills.
• Strong active listening abilities.
• Team player with collaborative skills.
• Quick learner with a calm and courteous approach, especially when handling upset members.
• Ability to multitask (listen, talk, and type simultaneously).
• Proficiency in Microsoft Office (Word, Excel, Outlook). Typing speed: 40 WPM (preferred: 60 WPM).

Additional Requirements

• Willingness to work some weekends from October through March.

Wage Range 💵

$20.00 – $23.00 per hour

Physical & Working Environment 🌍

• Must be able to travel as needed.
• Operate a keyboard, mouse, phone, and perform repetitive motions.
• Sit for extended periods; stand, reach, bend, lift up to 15 lbs.
• Communicate ideas clearly to the public and staff.
• Work is performed primarily in an office or remote setting with frequent staff and public contact.
• May occasionally require irregular hours based on business needs.

Equal Opportunity & Additional Information ⚖️

Clever Care Health Plan is proud to be an Equal Employment Opportunity and Affirmative Action employer. We consider all candidates without regard to race, color, national origin, religion, age, sex (including pregnancy), sexual orientation, gender identity, disability, veteran status, or any other protected status by law. A background check is required.

Salary ranges posted are based on California wages and may vary depending on the candidate's location.