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Community Resource Center Representative, Intermediate (Bilingual Vietnamese) - El Monte

  • Job
    Full-time
    Mid Level
  • Customer Relations
  • Long Beach, +1

AI generated summary

  • You need 3+ years experience, broad operational knowledge, bilingual in Vietnamese, familiar with Medi-Cal enrollment, customer service skills, and a positive attitude.
  • You will assist members with health and social service needs, conduct outreach calls, connect members to appropriate resources, and coordinate membership changes and programs to improve member/customer satisfaction.

Requirements

  • Requires at least 3 years of professional experience
  • Requires broad knowledge of operational systems and practices typically gained through extensive experience and/or education
  • Requires being bilingual in Korean as demonstrated by successful completion of an oral language proficiency test
  • Requires at least 6 months of experience with Medi-Cal enrollment guidelines, specifically Medi-Cal renewal/redetermination process
  • Requires customer service background
  • Must demonstrate a positive attitude, flexibility, professionalism, and dependability in all workplace activities

Responsibilities

  • Resolve issues and inquiries concerning members eligibility, benefits, provider information, clinical, pharmacy and other health or social service needs
  • Compose routine and non-routine correspondence to answer benefits/provider inquiries in writing
  • Coordinate membership changes such as member’s primary care physician. May participate in quality and efficiency workgroups to continuously improve quality member/customer satisfaction
  • Analyze available programs, determine program eligibility, and connect member to appropriate BSC vendors, Health Advocates, Social Workers, Pharmacy Techs, and Pharmacists
  • Conduct outreach calls and activities to inform members about the Community Resource Centers, how to access health plan benefits, and assist with scheduling appointments
  • Coordinates membership changes such as member’s primary care physician
  • Verify the member is included in or targeted for any outreach or care gap programs and connect members to programs or services when appropriate
  • Assist with organization and hosting of unique quality events and participating in on-site, off-site Community Resource Center activities

FAQs

What is the primary responsibility of a Community Resource Center Representative, Intermediate (Bilingual Vietnamese) in El Monte?

The primary responsibility of a Community Resource Center Representative is to provide in-person support to Blue Shield Promise members and consumers who visit a CRC. This support includes resolving issues and inquiries concerning members' eligibility, benefits, provider information, clinical and social service needs, as well as linking them to enrollment assistance and referral to social services and care planning.

What languages are required for this position in El Monte?

Being bilingual in Vietnamese is required for this position in El Monte.

What experience is necessary for this role?

This position requires at least 3 years of professional experience, with a customer service background. Additionally, at least 6 months of experience with Medi-Cal enrollment guidelines is required, specifically the Medi-Cal renewal/redetermination process.

What are some of the tasks that a Community Resource Center Representative will perform in this role?

Some of the tasks that a Community Resource Center Representative will perform include resolving issues and inquiries concerning members' eligibility and benefits, composing correspondence to answer benefit inquiries, coordinating membership changes, analyzing programs for eligibility and connecting members to appropriate services, conducting outreach calls, and assisting with hosting quality events and participating in CRC-sponsored activities.

What qualities are important for a candidate in this role?

A candidate for this role must demonstrate a positive attitude, flexibility, professionalism, and dependability in all workplace activities. They should also have a strong ability to communicate effectively in both English and Vietnamese.

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Finance
Industry
5001-10,000
Employees
1939
Founded Year

Mission & Purpose

Blue Shield of California strives to create a healthcare system worthy of its family and friends that is sustainably affordable. Blue Shield of California is a tax-paying, nonprofit, independent member of the Blue Shield Association with 4.7 million members, 7,800 employees, and $22.9 billion in annual revenue. Founded in 1939 in San Francisco and now headquartered in Oakland, Blue Shield of California and its affiliates provide health, dental, vision, Medicaid and Medicare healthcare service plans in California. Blue Shield of California complies with applicable state laws and federal civil rights laws, and does not discriminate on the basis of race, color, national origin, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, or disability.